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GEOFFREY DANIEL LIVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10580 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 583-5000
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101250395
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
01075071A
IN

Other

Enumeration date
06/15/2009
Last updated
10/17/2017
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