Individual
LEON LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N DUNLAP ST FL 3, MEMPHIS, TN 38105-4625
(901) 523-2945
(901) 523-8488
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126640
—
MS
05
—
146713001
—
AR
05
—
3899472
—
TN
01
—
6012717
BCBS
TN
Enumeration date
06/09/2005
Last updated
12/13/2024
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