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Individual

MS. ANGELA M LIVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 HOSPITAL LN STE 120, DANVILLE, IN 46122-1993
(317) 745-7310
(317) 745-7320
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
(317) 837-5567

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000942A
IN
363AM0700X
Medical Physician Assistant

Other

Enumeration date
05/16/2007
Last updated
09/26/2025
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