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Individual

DR. JOHN CULLEN LOVELACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
8709 WESLEY ST, STE. F, GREENVILLE, TX 75402-3828
(903) 454-2763
(903) 454-2733
Mailing address
PO BOX 9112, GREENVILLE, TX 75404-9112
(903) 454-2763
(903) 454-2733

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3066TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0932204-02
TX
Enumeration date
01/03/2007
Last updated
11/04/2010
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