Individual
CORI C. LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2309 VALLEY CREEK DR, GARLAND, TX 75040-2845
(214) 755-6086
(866) 390-2510
Mailing address
2309 VALLEY CREEK DR, GARLAND, TX 75040-2845
(214) 755-6086
(866) 390-2510
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99029
TX
Other
Enumeration date
05/07/2007
Last updated
03/10/2008
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