Lovelace, Susan B

Lovelace, Susan B is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lovelace, Susan B can be contacted via phone (410) 328-6749.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201
Phone: (410) 328-6749
Fax: (410) 328-6136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 2080I0007X R117678 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R117678 Maryland

Profile Details

NPI number 1679597876
LBN Legal business name Lovelace, Susan B
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679597876 NPPES
Maryland MEDICAID 000290900

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