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NPI Code Detail

MEDICARE: LOVELY PAUL

MEDICARE:   LOVELY  PAUL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramRN2303732MA

General Provider Information

NPI Number : 1871439646
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOVELY PAUL
Provider Business Mailing Address
First Line : 14 WYMAN ST
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-2909
Country : US
Telephone Number : 561-929-3202
Fax Number :
Provider Business Practice Location Address
First Line : 14 WYMAN ST
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-2909
Country : US
Telephone Number : 561-929-3202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 05/20/2026

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Directions to “ LOVELY PAUL ” Practice Location

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