Larry Dwayne Lovall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01025398 Issued in IN

Practice address

208 Meadow Dr
Danville, IN 46122-1416

Phone

(317) 718-5523

Fax

(317) 718-5576

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lovall and Associates, P.C.

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1164616231
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1386615490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-718-5523",
            "fax_number": "317-718-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-718-5523",
            "fax_number": "317-718-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVALL",
        "first_name": "LARRY",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jermaine Allen Lindsey, DC
• Angela M Lively, PA-C
• Miranda Lofgren, MS LAT ATC
• Cory R. Long, MD
• Marie Claire Lothamer
• Amy Lubsen
• Lindsay Ann Lydle
• Nancy L Lyons, BSPHARM, CDCES
• Lisa Jean Maccaroni, R.D.
• Sameer Madidi, MD

• Family Medicine Physician in Danville, IN
• Providers in Danville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.