Provider Demographics
NPI:1740217637
Name:LOVE, RICHARD LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LAWRENCE
Last Name:LOVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:740 MIDDLE CREEK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5053
Mailing Address - Country:US
Mailing Address - Phone:865-908-9888
Mailing Address - Fax:865-908-8756
Practice Address - Street 1:740 MIDDLE CREEK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5053
Practice Address - Country:US
Practice Address - Phone:865-908-9888
Practice Address - Fax:865-908-8756
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD29173207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100011116OtherCARITEN HEALTHCARE
TN7440451OtherUNITED HEALTHCARE
TN3087618OtherBCBST
TN441844OtherPHCS
TN160046839OtherRXR MEDICARE
TN7440451OtherUNITED HEALTHCARE
TN100011116OtherCARITEN HEALTHCARE