MR. Nathan Lovely

NPI #1376081968 in Ogdensburg, New York

Provider Information

NPI Number: 1376081968
Entity Type: Individual
Name: MR. Nathan Lovely
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 3, 2017
Last Updated: Feb 3, 2017

Practice Location

Address: 109 FORD ST
City: Ogdensburg
State: New York
ZIP Code: 13669-1419
Phone: (315) 394-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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