MEDICARE: MR. JAMES M LOVELACE MD

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	207X00000X	Orthopaedic Surgery Physician	0101055554	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972598845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES M LOVELACE MD

Provider Business Mailing Address
First Line	:	2460 LEE HWY N
Second Line	:
City	:	PULASKI
State	:	VA
Zip	:	24301-2335
Country	:	US
Telephone Number	:	540-994-9443
Fax Number	:	540-994-9330

Provider Business Practice Location Address
First Line	:	2460 LEE HWY N
Second Line	:
City	:	PULASKI
State	:	VA
Zip	:	24301-2335
Country	:	US
Telephone Number	:	540-994-9443
Fax Number	:	540-994-9330

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	03/25/2025

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