| NPI | 1992047781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LOVELL Owner Cfnp 662-416-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R872071) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |