Individual
AGNES LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1740 NW MAPLE ST STE 100, ISSAQUAH, WA 98027-8127
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61601561
WA
Other
Enumeration date
07/26/2023
Last updated
01/07/2025
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