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Individual

LUKE LIVGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C, RN

Contact information

Practice address
900 E BATTLEFIELD ST STE 124, SPRINGFIELD, MO 65807-5208
(417) 986-1289
Mailing address
900 E BATTLEFIELD ST STE 124, SPRINGFIELD, MO 65807-5208
(417) 986-1289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022026704
MO

Other

Enumeration date
10/14/2021
Last updated
11/22/2022
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