Provider Demographics
NPI:1346837655
Name:ANUMELE, LOVETH EKELE III
Entity Type:Individual
Prefix:
First Name:LOVETH
Middle Name:EKELE
Last Name:ANUMELE
Suffix:III
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LOVETH
Other - Middle Name:
Other - Last Name:ANUMELE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:207 LYNN ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-6515
Mailing Address - Country:US
Mailing Address - Phone:617-767-6400
Mailing Address - Fax:
Practice Address - Street 1:207 LYNN ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-6515
Practice Address - Country:US
Practice Address - Phone:617-767-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)