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Individual

KIMBERLEY R. LOVELACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7110
(608) 756-7106
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7110
(608) 756-7106

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
# 390200000X
TN
207W00000X
Ophthalmology Physician
Primary
50588-20
WI
207W00000X
Ophthalmology Physician
DR.51421
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78572223
CO
Enumeration date
04/16/2007
Last updated
05/02/2017
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