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Individual

LOIS M LIVENGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
544 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 955-0940
(541) 955-5233
Mailing address
544 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 955-0940
(541) 955-5233

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11591
OR

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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