Organization
FAMILY FIRST MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA LOVELL CFNP (OWNER CFNP)
(662) 416-2282
Entity
Organization
Contact information
Practice address
109 NORTH RD, BOONEVILLE, MS 38829-7615
(662) 416-2282
Mailing address
109 NORTH RD, BOONEVILLE, MS 38829-7615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872071
MS
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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