| Doctor Name: | MRS. LYDIA JACKSON LOVELL |
| NPI Number: | 1164619144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R872071 |
| Business Practice Address: | 2301 E Chambers Dr Booneville, MS - 388298903 |
| Business Phone Number: | 6627204816 |
| Business Fax Number: | 6627204832 |
| Mailing Address: | 2301 E Chambers Dr, BOONEVILLE |
| State: | MS |
| Postal Code: | 388298903 |
| Phone Number: | 6627204816 |
| Fax Number: | 6627204832 |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 04/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R872071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |