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NPI Code Detail

MEDICARE: DR. ERICA D LOVELL D.D.S.

MEDICARE: DR. ERICA D LOVELL D.D.S.
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
11223G0001XGeneral Practice Dentistry23414TX

General Provider Information

NPI Number : 1912107350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERICA D LOVELL D.D.S.
Provider Business Mailing Address
First Line : 125 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-610-5887
Provider Business Practice Location Address
First Line : 125 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-610-5887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 08/31/2022

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