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Individual

JEAN RAE NEWBY-LOVELACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-2116
(612) 672-6000
Mailing address
400 STINSON BLVD, MINNEAPOLIS, MN 55413-2614

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1760-029
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
7007
MN

Other

Enumeration date
06/06/2007
Last updated
10/16/2019
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