Individual
DR. VICTOR MANUEL LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 BURKARTH RD STE D, WARRENSBURG, MO 64093-3101
(660) 747-3141
(660) 747-7292
Mailing address
415 BURKARTH RD STE D, WARRENSBURG, MO 64093-3101
(660) 747-3141
(660) 747-7292
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
R8E71
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202115804
—
MO
Enumeration date
11/03/2006
Last updated
10/24/2012
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