Individual
GEORGE LIVINGSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
4922 SR 307 E, GENEVA, OH 44041
(440) 466-8928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000633
OH
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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