Individual
MRS. LOIS-ANN CERISE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011248
NY
363AM0700X
Medical Physician Assistant
Primary
5034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02849214
—
NY
Enumeration date
06/06/2006
Last updated
04/15/2022
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