Individual
BRIAN EUGENE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200196160A
MEDICAID
OK
01
—
OK400474
MEDICARE PTAN
OK
Enumeration date
02/06/2007
Last updated
07/29/2021
Update your record
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