Individual
DONALD R LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 BROOKSIDE DR STE 300, KINGSPORT, TN 37660-4634
(423) 392-6370
(423) 392-6081
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 392-6370
(423) 530-7900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14203
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780648972
—
VA
05
—
3195006
—
TN
05
—
Q003370
—
TN
Enumeration date
04/14/2006
Last updated
12/10/2019
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