Individual
MARY LAVATA LIVINGSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 INDEPENDENCE ST, #200, WHEAT RIDGE, CO 80033-6715
(303) 432-5157
Mailing address
4851 INDEPENDENCE ST, #200, WHEAT RIDGE, CO 80033-6715
(303) 432-5157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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