# LIVINGSTON LOCKBOURNE AVE FAMILY HEALTH CENTER

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

## Provider details

- **NPI number:** 1649208620
- **Authorized official:** MR. DEVON D RATLIFF MSA (GENERAL MANAGER)
- **Authorized official phone:** (614) 252-0917

## Contact information

- **Practice address:** 1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
- **Practice address phone:** (614) 252-0917
- **Practice address fax:** (614) 252-6153
- **Mailing address:** 1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
- **Mailing address phone:** (614) 252-0917
- **Mailing address fax:** (614) 252-6153

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 02/04/2010