Organization
TRINITY LOVELESS, MD, PLLC
Active
Other names
A Place to Grow Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TRINITY MICHELE LOVELESS M.D. (PHYSICIAN/OWNER)
(405) 265-3900
Entity
Organization
Contact information
Practice address
812 S MUSTANG RD, YUKON, OK 73099-6719
(405) 265-3900
(405) 265-3905
Mailing address
812 S MUSTANG RD, YUKON, OK 73099-6719
(405) 265-3900
(405) 265-3905
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173810A
—
OK
Enumeration date
03/21/2013
Last updated
03/21/2013
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