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Individual
GEOFFREY DANIEL LIVELY
Active
Individual
GEOFFREY DANIEL LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101250395
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
01075071A
IN
Other
Enumeration date
06/15/2009
Last updated
10/17/2017
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