MEDICARE: DR. GRACE MARY LOVEJOY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	44751	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558513176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRACE MARY LOVEJOY MD

Provider Business Mailing Address
First Line	:	2427 LAWRENCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2128
Country	:	US
Telephone Number	:	720-232-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 LARIMER ST
Second Line	:	LOFT
City	:	DENVER
State	:	CO
Zip	:	80205-8020
Country	:	US
Telephone Number	:	720-722-1839
Fax Number	:	720-302-0950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	07/09/2023

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Directions to “ DR. GRACE MARY LOVEJOY MD” Practice Location

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