Individual
MADISON LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W STATE ST, ALLIANCE, OH 44601-5611
(330) 821-0052
Mailing address
2700 W STATE ST, ALLIANCE, OH 44601-5611
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017769-S
OH
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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