Individual
KATHLEEN A DIETZ-LOVETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 PARK STREET, CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER, HYANNIS, MA 02601
(508) 862-7575
(508) 862-7362
Mailing address
27 PARK STREET, CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER, HYANNIS, MA 02601
(508) 862-7575
(508) 862-7362
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
207866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2696
BCBS
MA
Enumeration date
03/09/2006
Last updated
07/08/2007
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