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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN S LOVELACE MD PA

Active Organization

GLEN S LOVELACE MD PA is a Specialist organization located in BOISE, Idaho. NPI 1023053204 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOISE, ID

Registration Details

NPI Number
1023053204
Provider Type
Organization
NPI Issued
Jun 19, 2006 (20.170841166111 yrs)
Last Updated
Jun 1, 2009
License
M6570 (ID)

Practice Information

Address
333 N 1ST ST STE 260
BOISE, ID, 837026132
Browse ID providers · Browse ZIP 83702
Phone
2083453136
Fax
2083450984
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.