Individual
MS. DORA LAVALLE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4040 BRIDLE WAY, VIRGINIA BEACH, VA 23456
(757) 619-2215
Mailing address
4040 BRIDLE WAY, VIRGINIA BEACH, VA 23456-7125
(757) 619-2215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165138
VA
Other
Enumeration date
07/08/2005
Last updated
11/23/2016
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