MEDICARE: MARGARET MICHELE LOVELL PA

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	363AM0700X	Medical Physician Assistant	366941-1206	UT

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922093558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET MICHELE LOVELL PA

Provider Business Mailing Address
First Line	:	1121 E 3900 S
Second Line	:	STE C230
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1297
Country	:	US
Telephone Number	:	801-213-4270
Fax Number	:	801-585-1312

Provider Business Practice Location Address
First Line	:	1950 CIRCLE OF HOPE DR
Second Line	:	N1550
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5500
Country	:	US
Telephone Number	:	801-213-4270
Fax Number	:	801-585-1312

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	10/01/2018

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Directions to “ MARGARET MICHELE LOVELL PA” Practice Location

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