Individual
DANIEL LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 ALHAMBRA AVENUE, CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS, MARTINEZ, CA 94553-3156
(925) 370-5110
(925) 370-5142
Mailing address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 628-2439
(925) 634-2856
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G51791
CA
Other
Enumeration date
11/08/2006
Last updated
05/21/2013
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