Individual
MICHELLE LOUISE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 ALLISONVILLE RD, INDIANAPOLIS, IN 46205-2415
(317) 613-0918
Mailing address
4405 ALLISONVILLE RD, INDIANAPOLIS, IN 46205-2415
(317) 613-0918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003521
IN
Other
Enumeration date
06/24/2021
Last updated
04/18/2025
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