Individual
DR. LENNIS PEARCY LIVESAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-1100
Mailing address
PO BOX 14878, GREENSBORO, NC 27415-4878
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32530
NC
207RX0202X
Medical Oncology Physician
32530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37868
MEDCOST
NC
01
—
5077
PARTNERS MEDICARE
NC
01
—
5118094
AETNA
NC
01
—
52321
BCBS NC
NC
05
—
8952321
—
NC
Enumeration date
05/17/2006
Last updated
09/11/2025
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