Individual
LORETTA LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 915-0094
Mailing address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 915-0094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122567
MO
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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