Organization
LIVEA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SOWERS SPHR (CHIEF OPERATING OFFICER)
(952) 220-5578
Entity
Organization
Contact information
Practice address
3495 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55448-6713
(763) 210-2608
Mailing address
3495 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55448-6713
(763) 323-4127
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
08/20/2025
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