Individual
MR. MATTHEW D. LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2102 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3113
(717) 544-3111
Mailing address
2102 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3113
(717) 544-3111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1776266701
—
PA
Enumeration date
03/21/2006
Last updated
07/10/2026
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