Individual
GARY L LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.,L.P.O.,LPED
Contact information
Practice address
4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
(405) 631-9731
Mailing address
4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
(405) 631-9731
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
23
OK
332BC3200X
Customized Equipment (DME)
Primary
31
OK
Other
Enumeration date
08/11/2006
Last updated
02/11/2008
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