Individual
DR. LISA M. LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4218
Mailing address
117 CLOVERLEAF AVE, SAN ANTONIO, TX 78209-3818
(210) 363-3737
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M0660
TX
Other
Enumeration date
02/07/2007
Last updated
10/12/2016
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