Organization
C LANCE LOVE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LANCE LOVE MD (PRESIDENT)
(830) 997-6000
Entity
Organization
Contact information
Practice address
820 REUBEN STREET, SUITE A, FREDERICKSBURG, TX 78624-4436
(830) 997-6000
(830) 997-6004
Mailing address
820 REUBEN STREET, SUITE A, FREDERICKSBURG, TX 78624-4436
(830) 997-6000
(830) 997-6004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L5028
TX
Other
Enumeration date
11/05/2008
Last updated
12/01/2010
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