Organization
JAMES R LOVELL M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R LOVELL M.D., P.C. MD (PRESIDENT)
(906) 225-3955
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-3955
(906) 225-4480
Mailing address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-3955
(906) 225-4480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JL027611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0528298
BLUE CROSS BLUE SHIELD
MI
05
—
1059666
—
MI
01
—
161656937
PALMETTO RR MCR
MI
Enumeration date
11/13/2007
Last updated
05/20/2008
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