Organization · Type 2 NPI

Glen S Lovelace MD PA

Specialist · Boise, ID

NPI number 1023053204 Active

Practice location

333 N 1st St Ste 260
Boise, ID 83702-6132

Call (208) 345-3136 Map

Fax (208) 345-0984

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM6570 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023053204

Glen S Lovelace MD PA's National Provider Identifier is 1023053204, issued on Jun 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Jun 1, 2009.