Individual
SUSAN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Mailing address
4925 S PRATT AVE, SPRINGFIELD, MO 65804-7527
(417) 848-2044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
092708
MO
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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