Individual
TRINITY MICHELE LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 S MUSTANG RD, YUKON, OK 73099-6719
(405) 265-3900
(405) 265-3905
Mailing address
812 S MUSTANG RD, YUKON, OK 73099-6719
(405) 265-3900
(405) 265-3905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173810A
—
OK
Enumeration date
06/25/2007
Last updated
03/21/2013
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