MEDICARE: DR. LILY P LOVE 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
1	207Y00000X	Otolaryngology Physician	ME101352	FL
2	207Y00000X	Otolaryngology Physician	238246	NY
3	207Y00000X	Otolaryngology Physician	026670	LA
4	207Y00000X	Otolaryngology Physician	MD2009-0553	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42730	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598937781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILY P LOVE M.D.

Provider Business Mailing Address
First Line	:	5929 BALCONES DR STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4280
Country	:	US
Telephone Number	:	512-550-1800
Fax Number	:	877-647-0202

Provider Business Practice Location Address
First Line	:	4901 LANG AVE NE STE 100
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4597
Country	:	US
Telephone Number	:	505-883-2574
Fax Number	:	877-647-0202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	02/07/2024

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Directions to “ DR. LILY P LOVE M.D.” Practice Location

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