P Praxis·MD
● Active Type 1 · Individual

DR. Glen S Lovelace, MD

Obstetrics & Gynecology·Boise, ID· NPI 1720023930 · Enumerated 2006 · 19 years on NPI
Lovelace is 1 of 5 obstetrics & gynecology providers in Boise and 1 of 8 in Idaho.
NPI age
19 years
Enumerated 2006-06-19
Primary specialty
Obstetrics & Gynecology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-08-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8 active obstetrics & gynecology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
333 N 1st St Ste 260
Boise, ID 837026132
📞 2083453136fax 2083450984
Mailing address
333 N 1st St Ste 260
Boise, ID 837026132
📞 2083453136fax 2083450984

Specialties

  • Obstetrics & Gynecology Primary
    A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
    ID license #M6570 taxonomy 207VX0000X

Identifiers

TypeValueNotes
01 (ID) 000010002170 BLUE SHIELD
05 (ID) 003795800
01 (ID) 37382 BLUE CROSS

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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