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Individual

DAWN L LOVELACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CNM

Contact information

Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1930
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1930

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00096633
WA
363L00000X
Nurse Practitioner
Primary
AP30003466
WA
367A00000X
Advanced Practice Midwife
AP30003466
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133949
LABOR AND INDUSTRIES
WA
05
9614629
WA
Enumeration date
09/26/2005
Last updated
08/06/2015
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