Provider Demographics
NPI:1285098020
Name:SHARMA, LOVELYNE (MD)
Entity type:Individual
Prefix:
First Name:LOVELYNE
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOVELYNE
Other - Middle Name:
Other - Last Name:NGUJEDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:550 GAGE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-473-0637
Mailing Address - Fax:509-627-2983
Practice Address - Street 1:510 N COLORADO ST STE A
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7845
Practice Address - Country:US
Practice Address - Phone:509-942-6020
Practice Address - Fax:509-942-6049
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91226208D00000X, 2083X0100X
390200000X
WAMD615343432083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine