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Individual

E. FRANKLIN LIVINGSTONE MD PC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1519 QUEENS BAY STE 201, LAKE HAVASU CITY, AZ 86403-6585
(928) 854-0011
(928) 854-0012
Mailing address
3560 ORO GRANDE BLVD # 1000, LAKE HAVASU CITY, AZ 86406-7209
(928) 854-0011
(928) 854-0012

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31013
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212162
DEPT OF LABOR
AZ
01
250014204
MEDICARE RAILROAD
AZ
05
744145
AZ
01
AZ0733210
BC/BS OF AZ
AZ
01
Z74943
MEDICARE
AZ
Enumeration date
12/24/2006
Last updated
05/07/2009
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