Doctor Name: | MR. JOHN LOVELL |
NPI Number: | 1982049680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 18th Medical Group Unit 5142 Apo, AP - 963685142 |
Business Phone Number: | 3156304902 |
Business Fax Number: | |
Mailing Address: | Psc 80 Box 11564, APO |
State: | AP |
Postal Code: | 963670018 |
Phone Number: | 08092441378 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |