Individual
LISA MARIE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604
(423) 232-2791
(423) 232-2789
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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