Provider Demographics
NPI:1801818836
Name:LOVELL, JOHN K (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:K
Last Name:LOVELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2430 W HORIZON RIDGE PKWY
Mailing Address - Street 2:ATTN. J. KREED LOVELL, MD
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-247-9994
Mailing Address - Fax:702-651-9995
Practice Address - Street 1:2430 W HORIZON RIDGE PKWY
Practice Address - Street 2:ATTN. J. KREED LOVELL, MD
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2729
Practice Address - Country:US
Practice Address - Phone:702-247-9994
Practice Address - Fax:702-651-9995
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-11-13
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Provider Licenses
StateLicense IDTaxonomies
NV50842084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology