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Individual
MANDY E. MIDDLEBROOK-LOVETT
Active
Individual
MANDY E. MIDDLEBROOK-LOVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200599
LA
363A00000X
Physician Assistant
PA00663
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04174721
—
MS
05
—
2324632
—
LA
Enumeration date
03/01/2013
Last updated
01/04/2023
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