Individual
MELISSA LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N18066 BALSAM LANE, SPALDING, MI 49886
(906) 497-4220
Mailing address
6024 CLAIRMONT 20.3 LN, GLADSTONE, MI 49837-2460
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700072543
—
MI
Enumeration date
11/14/2016
Last updated
11/14/2016
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