Individual
MARCUS LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2312 SIR BARTON WAY STE 170, LEXINGTON, KY 40509-2266
(859) 543-8383
(859) 264-9734
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09460DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000123
—
KY
Enumeration date
12/22/2006
Last updated
07/09/2007
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