Individual
MRS. LISA MARIE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15533 W PARADISE LN, SURPRISE, AZ 85374-5851
(623) 546-7288
(623) 975-4380
Mailing address
15533 W PARADISE LN, SURPRISE, AZ 85374-5851
(623) 546-7288
(623) 975-4380
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
073531
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132608
—
AZ
Enumeration date
02/08/2007
Last updated
07/09/2007
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