Organization
LIVEWELL INTEGRATED HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WALTERS LIVINGSTON III DC, LAC. (MEMBER)
(610) 972-2462
Entity
Organization
Contact information
Practice address
8026 HAMILTON BLVD, BREINIGSVILLE, PA 18031-1219
(610) 972-2462
Mailing address
PO BOX 96, TREXLERTOWN, PA 18087-0096
(610) 972-2462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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