Individual
URSULA C. LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1690 ELM ST STE 300, DUBUQUE, IA 52001-3679
(563) 690-2850
(563) 582-5335
Mailing address
1690 ELM ST STE 300, DUBUQUE, IA 52001-3679
(563) 690-2850
(563) 582-5335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01061204A
IN
207Q00000X
Family Medicine Physician
Primary
33221
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200541120
—
IN
Enumeration date
05/01/2006
Last updated
01/23/2025
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