Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen S Lovelace MD PA

Organization Specialist · NPI 1023053204

Glen S Lovelace MD PA provides Specialist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 N 1st St Ste 260
Boise, ID 83702-6132 Not confirmed with CMS for 17 years — call before visiting
Phone: (208) 345-3136
Fax: (208) 345-0984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M6570 (ID)

Record details

NPI number1023053204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Lovelace — Owner · (208) 345-3136
NPI enumeratedJune 19, 2006
Last updated in NPPESJune 1, 2009
Mailing address333 N 1st St Ste 260, Boise, ID 83702-6132

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