# MANDY E. MIDDLEBROOK-LOVETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467793307
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA.200599 | LA | Yes |
| 363A00000X | Physician Assistant | PA00663 | MS | — |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 01/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04174721 | — | MS |
| 05 | — | 2324632 | — | LA |