# TRINITY LOVELESS, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Place to Grow Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629310230
- **Authorized official:** TRINITY MICHELE LOVELESS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (405) 265-3900

## Contact information

- **Practice address:** 812 S MUSTANG RD, YUKON, OK 73099-6719
- **Practice address phone:** (405) 265-3900
- **Practice address fax:** (405) 265-3905
- **Mailing address:** 812 S MUSTANG RD, YUKON, OK 73099-6719
- **Mailing address phone:** (405) 265-3900
- **Mailing address fax:** (405) 265-3905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25703 | OK | Yes |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 03/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200173810A | — | OK |