Individual
KRISTINA LOVINGGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
801 DALLAS AVE, SELMA, AL 36701-5454
(334) 874-7024
(334) 874-7372
Mailing address
801 DALLAS AVE, SELMA, AL 36701-5454
(334) 874-7024
(334) 874-7372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C32
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-C32
ALABAMA STATE LICENSE
AK
Enumeration date
06/21/2010
Last updated
06/12/2012
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