C Lance Love Mdpa

NPI #1346494242 in Fredericksburg, Texas

Provider Information

NPI Number: 1346494242
Entity Type: Organization
Organization Name: C Lance Love Mdpa
Primary Specialty: Surgery
Enumeration Date: Nov 5, 2008
Last Updated: Dec 1, 2010

Practice Location

Address: 820 REUBEN STREET
Address 2: SUITE A
City: Fredericksburg
State: Texas
ZIP Code: 78624-4436
Phone: (830) 997-6000

Authorized Official

Name: DR. CHRISTOPHER LANCE LOVE, MD
Title: PRESIDENT
Phone: (830) 997-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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