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Individual

DR. LORI LIVINGSTON STANFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
604 BRANTLEY ST, OPP, AL 36467-1742
(334) 493-4472
(334) 493-9849
Mailing address
604 BRANTLEY ST, OPP, AL 36467-1742
(334) 493-4472
(334) 493-9849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21063
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35325
AL
01
51035325
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/08/2006
Last updated
10/31/2007
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