Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 32385 | AL |
N | 208000000X | Pediatrician | MD169966 | OR |
NPI | 1003134651 |
---|---|
Provider Name | Dr. Joshua James Lovvorn |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2010 |
Last Update Date | 01/09/2021 |