Provider Demographics
NPI:1861685398
Name:LOVELL, SUZANNE E (RN)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:E
Last Name:LOVELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 CRABTREE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3148
Mailing Address - Country:US
Mailing Address - Phone:508-747-3652
Mailing Address - Fax:
Practice Address - Street 1:61 CRABTREE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3148
Practice Address - Country:US
Practice Address - Phone:508-747-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA264917163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse