Organization Name: | DR. LACEY J LOVELAND DPM PC |
NPI Number: | 1114104197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LACEY J LOVELAND (PRESIDENT) |
Mailing Address: | 755 East 11th Avenue Suite 200 Eugene |
State: | OR US |
Postal Code: | 974013313 |
Phone Number: | 5413445144 |
Fax Number: | 5413445504 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 06/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 11/17/2008 |
NPI Reactivation Date: | 05/08/2009 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 6148720002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |