Individual
JERRI LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 785-4327
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 785-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80214
TX
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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