Individual
DR. IRAKLIS C LIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1019 MAJESTIC DR, SUITE 210, LEXINGTON, KY 40513-1895
(859) 277-3114
(859) 275-1942
Mailing address
1019 MAJESTIC DR, SUITE 210, LEXINGTON, KY 40513-1895
(859) 277-3114
(859) 275-1942
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
KY32228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64322282
—
KY
Enumeration date
12/19/2005
Last updated
11/17/2014
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