Individual
LACHARA VERNELL LIVINGSTON-FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7605 FOREST AVE STE 103, RICHMOND, VA 23229-4936
(804) 288-0055
(804) 288-2659
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101267010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780973040
—
VA
01
—
VVW849A
MEDICARE PTAN
VA
Enumeration date
04/07/2011
Last updated
10/31/2023
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