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Dr. Glen S Lovelace, MD
Obstetrics Physician in Boise, Idaho
NPI 1720023930

Glen S Lovelace is a Obstetrics Physician based in Boise, ID and is specialized in Obstetrics. Glen S Lovelace practices in Boise, ID and has the professional credentials of MD. The NPI Number for Glen S Lovelace is 1720023930 and holds a License No. M6570 (Idaho).

The current practice location address for Glen S Lovelace is 333 N 1St St Ste 260, Boise, ID and can be reached out via phone at 208-345-3136 and via fax at 208-345-0984.

Location: 333 N 1St St Ste 260, Boise, ID, 83702-6132
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Provider Profile Details
NPI Number
1720023930
Provider Name
Glen S Lovelace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
333 N 1St St Ste 260, Boise, ID, 83702-6132
Phone Number
208-345-3136
Fax Number
208-345-0984
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010002170 01 ID BLUE SHIELD
003795800 05 ID
37382 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
333 N 1St St Ste 260
City
State
Zip
83702-6132
Phone Number
208-345-3136
Fax Number
208-345-0984
person
Provider Business Mailing Address Details
Address
333 N 1St St Ste 260
City
State
Zip
83702-6132
Phone Number
208-345-3136
Fax Number
208-345-0984
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
M6570 (Idaho)
Definition
Definition to come...
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