Individual
SHANE B. LOVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
80 RIVER ROAD, NEWCASTLE, ME 04553-3838
(207) 563-3366
(207) 563-3393
Mailing address
80 RIVER ROAD, NEWCASTLE, ME 04553-3838
(207) 563-3366
(207) 563-3393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001090
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432821199
—
ME
Enumeration date
07/03/2007
Last updated
02/01/2010
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