Provider Demographics
NPI:1457312407
Name:LOVETTE, JOY (MD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:LOVETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5639 JEFFERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3412
Mailing Address - Country:US
Mailing Address - Phone:505-821-5404
Mailing Address - Fax:505-821-3148
Practice Address - Street 1:3812 ACADEMY PARKWAY NORTH NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4409
Practice Address - Country:US
Practice Address - Phone:505-821-6684
Practice Address - Fax:505-821-3788
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2018-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM86083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD43225Medicare UPIN