Organization
E FRANKLIN LIVINGSTONE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E FRANKLIN LIVINGSTONE MD PC MD (PHYSICIAN)
(928) 854-0011
Entity
Organization
Contact information
Practice address
297 LAKE HAVASU AVE S, STE 106, LAKE HAVASU CITY, AZ 86403-6526
(928) 854-0011
(928) 854-0012
Mailing address
3560 ORO GRANDE BLVD # 1000, LAKE HAVASU CITY, AZ 86406-7209
(928) 854-0011
(928) 854-0012
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31013
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212162
DEPARTMENT OF LABOR
AZ
01
—
250014204
MEDICARE RAILROAD
AZ
01
—
A14947
UPIN
AZ
01
—
AZ0733210
BC/BS OF AZ
AZ
01
—
Z74943
MEDICARE PROV #
AZ
Enumeration date
12/19/2007
Last updated
03/04/2013
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