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Organization

LOVELESS ORTHOPEDIC APPLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY LOVELESS C.O., L.P.O.,LPED (PRESIDENT)
(405) 631-9731
Entity
Organization

Contact information

Practice address
4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
(405) 631-9731
(405) 634-9717
Mailing address
4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
(405) 631-9731
(405) 634-9717

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
23
OK
332BC3200X
Customized Equipment (DME)
31
OK

Other

Enumeration date
02/25/2008
Last updated
02/25/2008
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