Glen S Lovelace is a Obstetrics in Boise, Idaho. Glen S Lovelace practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Glen S Lovelace is 1720023930. The last update date is 2017-08-23.
Glen S Lovelace's current location address is 333 N 1st St Ste 260, Boise, Idaho. You can contact this provider via phone number 2083453136 and fax number 2083450984. The mailing address for Glen S Lovelace is 333 N 1st St Ste 260, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glen S Lovelace |
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Address | 333 N 1st St Ste 260, Boise, Idaho |
Phone Number | 2083453136 |
Fax Number | 2083450984 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1720023930 |
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Provider Enumeration Date | 2006-06-19 |
Last Updated Date | 2017-08-23 |
Provider Mailing Address Detail
Address | 333 N 1st St Ste 260 |
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City | Boise |
State | Idaho (ID) |
Post Code | 837026132 |
Phone Number | 2083453136 |
Fax Number | 2083450984 |
Provider's Primary Taxonomy Detail
Speciality | Obstetrics |
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Taxonomy | 207Vx0000X |
Licence No | M6570 |
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10002170 | ID | BLUE SHIELD | |
3795800 | ID | -- | |
37382 | ID | BLUE CROSS |
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What is the unique identification code assigned to Glen S Lovelace by the Centers for Medicare & Medicaid Services?
The Glen S Lovelace has been issued the NPI (National Provider Identifier) 1720023930. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Glen S Lovelace's facilities are situated?
The facilities of Glen S Lovelace are physically located at the following address: 333 N 1St St Ste 260, Boise, ID, 837026132.
What is the area of specialization for Glen S Lovelace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen S Lovelace is Obstetrics, and the corresponding taxonomy code that categorizes this area of expertise is 207Vx0000X.
On what date was the 1720023930 assigned to Glen S Lovelace?
The Glen S Lovelace was issued its 1720023930 on 2006-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Glen S Lovelace's information last updated?
The Glen S Lovelace's information was last updated on 2017-08-23.
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