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 is a Specialist 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
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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