Provider Demographics
NPI:1760461297
Name:LOVETT, ANGELA R (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:LOVETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:11610 HURON LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1834
Mailing Address - Country:US
Mailing Address - Phone:501-227-7797
Mailing Address - Fax:501-227-7753
Practice Address - Street 1:500 S UNIVERSITY AVE STE 219
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5304
Practice Address - Country:US
Practice Address - Phone:501-227-7797
Practice Address - Fax:501-227-7753
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC8127207L00000X
ARC-8127208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR122796001Medicaid
AR55941Medicare ID - Type Unspecified
AR122796001Medicaid