Lovall, Larry Dwayne
Lovall, Larry Dwayne is an sole proprietor health care provider with primary practice located at 208 Meadow Dr , Danville IN 46122-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lovall, Larry Dwayne can be contacted via phone (317) 718-5523.Contact Information
Primary practice address
208 Meadow Dr
Danville IN 46122-1416
Phone: (317) 718-5523
Fax: (317) 718-5576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01025398 | Indiana |
Profile Details
| NPI number | 1386615490 |
|---|---|
| LBN Legal business name | Lovall, Larry Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Apr 26th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386615490 | NPPES |
| Indiana | MEDICAID | 100133310A |
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