Organization
LIVENGOOD WELLNESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J LIVENGOOD (PRESIDENT)
(317) 531-7077
Entity
Organization
Contact information
Practice address
2851 WOLVERINE WAY, ZIONSVILLE, IN 46077-8834
(317) 531-7077
Mailing address
2851 WOLVERINE WAY, ZIONSVILLE, IN 46077-8834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001715B
IN
Other
Enumeration date
05/08/2016
Last updated
05/08/2016
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