Individual
MR. LARRY DWAYNE LOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MEADOW DR, DANVILLE, IN 46122-1416
(317) 718-5523
(317) 718-5576
Mailing address
208 MEADOW DR, DANVILLE, IN 46122-1416
(317) 718-5523
(317) 718-5576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025398
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133310A
—
IN
Enumeration date
01/27/2006
Last updated
04/26/2012
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