Individual
MRS. MARIE LUCILLE LIVEZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST CFA
Contact information
Practice address
1809 E. 13TH ST, SUITE 400, TULSA, OK 74104
(918) 599-8200
(918) 587-1767
Mailing address
P.O. BOX 571034, TULSA, OK 74157
(918) 445-0671
(918) 587-1767
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
94845
OK
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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