Individual
MELINDA SUSANNE LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
908 JEFFERSON ST, SEATTLE, WA 98104-2433
(206) 744-9340
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD60303108
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60303108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922324540
—
WA
Enumeration date
04/08/2010
Last updated
03/09/2023
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