Individual
MR. DAMIAN J LOVELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1632 TICONDEROGA ST, USS HERON MHC 52, INGLESIDE, TX 78362
(361) 385-6216
Mailing address
11325 IH 37, APT 502, CORPUS CHRISTI, TX 78410-3353
(361) 385-6216
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDANT DUTY CORPSMAN
TX
Enumeration date
03/08/2006
Last updated
07/08/2007
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