# LIVEWELL CONCIERGE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578444691
- **Authorized official:** AMELIA MONCHO PA (CO-OWNER)
- **Authorized official phone:** (405) 449-8076

## Contact information

- **Practice address:** 3839 S BOULEVARD STE 150, EDMOND, OK 73013-5370
- **Practice address phone:** (405) 449-8076
- **Practice address fax:** (405) 674-1574
- **Mailing address:** 3839 S BOULEVARD STE 150, EDMOND, OK 73013-5370
- **Mailing address phone:** (405) 449-8076
- **Mailing address fax:** (405) 674-1574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025
