Individual
ANGELA LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Mailing address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2010-0061
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43685340
—
NM
Enumeration date
10/26/2010
Last updated
12/17/2014
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