Lois M Livengood, L.M.T.
Individual provider Active NPI Contractor · Grants Pass, OR
NPI 1831361799 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1831361799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 11591 (OR)
- Practice address
- 544 Union Ave
Grants Pass, OR 97527-5544 - Phone
- (541) 955-0940
- Fax
- (541) 955-5233
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11591 | OR | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 11591 | OR | Yes |
Addresses
Primary practice location
544 Union Ave
Grants Pass, OR 97527-5544
Mailing address
544 Union Ave
Grants Pass, OR 97527-5544
Phone (541) 955-0940
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.