Individual
MRS. LISSA LOPE LIVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2100 CORPUS CHRISTI ST, SUITE 14, LAREDO, TX 78043-3398
(956) 724-5448
(956) 724-5449
Mailing address
2100 CORPUS CHRISTI ST, SUITE 14, LAREDO, TX 78043-3398
(956) 724-5448
(956) 724-5449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111552
TX
Other
Enumeration date
09/13/2007
Last updated
11/22/2013
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