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NPI Code Detail

MEDICARE: STEWART LOVELACE M.D.

MEDICARE:   STEWART  LOVELACE  M.D.
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
12084P0800XPsychiatry PhysicianC30263CA

General Provider Information

NPI Number : 1285963983
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEWART LOVELACE M.D.
Provider Business Mailing Address
First Line : 1112 OCEAN DR
Second Line : SUITE 102
City : MANHATTAN BEACH
State : CA
Zip : 90266-5448
Country : US
Telephone Number : 310-376-1415
Fax Number : 310-545-1323
Provider Business Practice Location Address
First Line : 1112 OCEAN DR
Second Line : SUITE 102
City : MANHATTAN BEACH
State : CA
Zip : 90266-5448
Country : US
Telephone Number : 310-376-1415
Fax Number : 310-545-1323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 12/09/2009

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Directions to “ STEWART LOVELACE M.D.” Practice Location

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