Organization
LOVELACE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LEE LOVELACE MD (PHYSICIAN)
(901) 726-4110
Entity
Organization
Contact information
Practice address
944 N BROADWAY, SUITE 102, YONKERS, NY 10701-1304
(901) 726-4110
Mailing address
1488 MADISON AVE, MEMPHIS, TN 38104-2447
(901) 726-4110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
226835
NY
Other
Enumeration date
10/25/2007
Last updated
03/17/2008
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