Individual
LOVINA O IRIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3614 BILL PRICE RD BLDG 12DEL, DEL VALLE, TX 78617-3630
(512) 854-4197
Mailing address
1417 BERLIN LN, AUSTIN, TX 78753-7324
(281) 912-4499
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
52933
TX
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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