Provider Demographics
NPI:1932213881
Name:LOVELACE, TAMARA LEA (DC, DACBSP)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:LEA
Last Name:LOVELACE
Suffix:
Gender:F
Credentials:DC, DACBSP
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:LEA
Other - Last Name:HAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:ALTON BAY
Mailing Address - State:NH
Mailing Address - Zip Code:03810-0196
Mailing Address - Country:US
Mailing Address - Phone:603-431-4200
Mailing Address - Fax:
Practice Address - Street 1:12 PORTWALK PLACE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-431-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH894111NS0005X
VT006.0082524111NS0005X
MECR2051111NS0005X
OR3384111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician