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Individual

DR. ELENA M LLIVINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
062913
GA
207N00000X
Dermatology Physician
Primary
29784
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-66644
BCBS AL BHAM
AL
01
510-66647
BCBS AL MGM
AL
01
510-66652
BCBS AL HSV
AL
Enumeration date
12/08/2006
Last updated
01/29/2010
Update your record

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