Individual
MR. MATTHEW D. LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 299-4173
Mailing address
555 N DUKE ST, P O BOX 3555, LANCASTER, PA 17602-2250
(717) 299-4173
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
09/26/2024
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