Individual
SUSAN B LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201
(410) 328-6749
(410) 328-6136
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
R117678
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R117678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000290900
—
MD
Enumeration date
07/27/2006
Last updated
06/12/2018
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