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Individual

MR. BRUCE OWEN LOVEJOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-NP

Contact information

Practice address
625 N. 114TH STREET, OMAHA, NE 68154
(402) 201-2920
(402) 201-2923
Mailing address
PO BOX 24406, WEIGHT LOSS SURGICAL CENTER, SHAWNEE MISSION, KS 66283
(402) 201-2920
(402) 201-2923

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110411
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47078557552
NE
Enumeration date
05/10/2006
Last updated
04/14/2011
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