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NPI Code Detail

MEDICARE: LASHANNA SHANICE LOVELL M.D.

MEDICARE:   LASHANNA SHANICE LOVELL  M.D.
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
1208000000XPediatrics Physician01078494AIN

General Provider Information

NPI Number : 1821417023
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHANNA SHANICE LOVELL M.D.
Provider Business Mailing Address
First Line : 1015 N SHELBY ST
Second Line :
City : GARY
State : IN
Zip : 46403-1446
Country : US
Telephone Number : 219-938-0921
Fax Number : 219-938-0923
Provider Business Practice Location Address
First Line : 1015 N SHELBY ST
Second Line :
City : GARY
State : IN
Zip : 46403-1446
Country : US
Telephone Number : 219-938-0921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 03/16/2023

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Directions to “ LASHANNA SHANICE LOVELL M.D.” Practice Location

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