Basic Information
Provider Information
NPI: 1316138985
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOVELESS
FirstName: ALITA
MiddleName: KAY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5865
Address2:  
City: LUBBOCK
State: TX
PostalCode: 794085865
CountryCode: US
TelephoneNumber: 8067432898
FaxNumber: 8067432787
Practice Location
Address1: 3601 4TH ST # MS 8340
Address2: ROOM 3B100
City: LUBBOCK
State: TX
PostalCode: 794300002
CountryCode: US
TelephoneNumber: 8067432340
FaxNumber: 8067433121
Other Information
ProviderEnumerationDate: 08/07/2007
LastUpdateDate: 06/24/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0000X42663TXN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
207VG0400X42663TXY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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