Individual
PAIGE M LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1287 N MAIN ST, PROVIDENCE, RI 02904-1856
(401) 272-2724
(401) 272-2784
Mailing address
1805 NW PLATTE RD STE 120, RIVERSIDE, MO 64150-7500
(816) 472-0400
(816) 472-0813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA
MA
363A00000X
Physician Assistant
PA00923
RI
Other
Enumeration date
10/15/2014
Last updated
01/23/2020
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