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Individual

JAMIE A LOVDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5-4257 BASTOGNE STREET, FORT LIBERTY, NC 28310-7233
(910) 907-6290
(910) 907-9606
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901572
NC

Other

Enumeration date
07/07/2006
Last updated
11/06/2024
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