Individual
ERICA DIANNE LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6527 COLERAIN AVE, CINCINNATI, OH 45239-5537
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.165072.MEDS-IV
OH
Other
Enumeration date
05/15/2014
Last updated
11/08/2022
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