Individual
MRS. LYDIA JACKSON LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2301 E CHAMBERS DR, BOONEVILLE, MS 38829-8903
(662) 720-4816
(662) 720-4832
Mailing address
2301 E CHAMBERS DR, BOONEVILLE, MS 38829-8903
(662) 720-4816
(662) 720-4832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872071
MS
Other
Enumeration date
10/03/2007
Last updated
04/30/2012
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