Healthcare Provider Details

I. General information

NPI: 1194796193
Provider Name (Legal Business Name): DANIEL JOE LOVELESS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5210 BOX 230
APO AE
09464
GB

IV. Provider business mailing address

5 HONEY HILL MEWS
CAMBRIDGE CAMBRIDGESHIRE
CB3 0AL
GB

V. Phone/Fax

Practice location:
  • Phone: 01638528266
  • Fax:
Mailing address:
  • Phone: 01638528266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC004782L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: