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Individual

DR. BRUCE MERLE LOVELACE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8202 KELWOOD AVE, BATON ROUGE, LA 70806-4801
(225) 928-0798
(225) 927-8115
Mailing address
8202 KELWOOD AVE, BATON ROUGE, LA 70806-4801
(225) 928-0798
(225) 927-8115

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
LA3170
LA

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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