Provider Demographics
NPI:1972598845
Name:LOVELACE, JAMES M (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:LOVELACE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2460 LEE HWY N
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-2335
Mailing Address - Country:US
Mailing Address - Phone:540-994-9443
Mailing Address - Fax:540-994-9330
Practice Address - Street 1:2460 LEE HWY N
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-2335
Practice Address - Country:US
Practice Address - Phone:540-994-9443
Practice Address - Fax:540-994-9330
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055554207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6405347Medicaid
VA6405347Medicaid
200028640Medicare PIN
VAF83519Medicare UPIN