Lovelace Health System LLC

NPI #1932482445 in Jemez Pueblo, New Mexico

Provider Information

NPI Number: 1932482445
Entity Type: Organization
Organization Name: Lovelace Health System LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ARDENT LEGACY HOLDINGS, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 21, 2011
Last Updated: May 29, 2019

Practice Location

Address: 129-A CANAL STREET
City: Jemez Pueblo
State: New Mexico
ZIP Code: 87024
Phone: (575) 834-9168

Authorized Official

Name: STEPHEN C PETROVICH
Title: SVP
Phone: (615) 296-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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