Individual
SHAWN LARAE LOVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 WINDWARD WAY, KALISPELL, MT 59901-2680
(406) 257-1336
(406) 257-1353
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7947
MT
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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