Individual
MS. MYRA LOUISE LOVVORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5081
Mailing address
3445 COOPER RD, RICHMOND, VA 23225-1329
(804) 814-9655
(804) 562-9096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024149847
VA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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