Provider Information for 1598489171
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Ms. KIMBERLY LINCOLN LOVELACE LPC
Sex: Female
NPI: 1598489171
Last Updated: 2022-09-28
Certification Date: 2022-09-28
Certification Date: 2022-09-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598489171 | ||||||||
| Enumeration Date | 2022-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1220 HAWTHORNE AVE FORT WORTH, TX 76110-1919 United States Phone: 817-683-7982 | Fax: | ||||||||
| Primary Practice Address | 1220 HAWTHORNE AVE FORT WORTH, TX 76110-1919 United States Phone: 817-683-7982 | Fax: | ||||||||
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