# ELIZABETH ANN IVERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013175066
- **Gender:** F
- **Credential:** L.P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374700000X | Technician | 34241 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008