Individual
DYLAN LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3113 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 785-9495
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 785-9495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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