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Individual

CHRISTOPHER LANCE LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 REUBEN STREET, SUITE A, FREDERICKSBURG, TX 78624-4436
(830) 997-6000
(830) 997-6004
Mailing address
820 REUBEN STREET, SUITE A, FREDERICKSBURG, TX 78624-4436
(830) 997-6000
(830) 997-6004

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38499
KY
208600000X
Surgery Physician
Primary
L5028
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157666202
TX
01
8BV380
BCBSTX
TX
Enumeration date
04/17/2006
Last updated
12/28/2009
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