Organization
LYVING LIFE WELLNESS CENTER, LLC
Active
Other names
Lyving Life Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNYFER LYNN LIVINGSTON APRN (APRN)
(405) 513-0705
Entity
Organization
Contact information
Practice address
1645 NW 16TH ST, NEWCASTLE, OK 73065-5923
(405) 513-0705
Mailing address
1645 NW 16TH ST, NEWCASTLE, OK 73065-5923
(405) 513-0705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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