Provider Type Icon

LOVELACE HEALTH SYSTEM LLC NPI 1790183135


NPI Information

NPI: 1790183135
Provider Name: LOVELACE HEALTH SYSTEM, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
715 DR MARTIN LUTHER KING JR AVE NE
SUITE 102
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 727-4050
Get Directions

LOVELACE HEALTH SYSTEM, LLC is a hematology and oncology internal medicine in Albuquerque, NM. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. LOVELACE HEALTH SYSTEM, LLC NPI is 1790183135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 DR MARTIN LUTHER KING JR AVE NE
SUITE 102
ALBUQUERQUE, NM
ZIP 87102-661
Phone: (505) 727-4050
Fax: (505) 727-4055

The provider's authorized official is Stephen C Petrovich .
The authorized official title is Svp and has the following contact phone number (615) 296-3000.

The enumeration date for this NPI number is 12/17/2014 and was last updated on 5/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.