Living Well Family Practice, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-05-95666 Issued in OH

Legal business name

LIVING WELL FAMILY PRACTICE, INC.

Practice address

250 Debartolo PL
Suite 1650
Boardman, OH 44512-7004

Phone

(330) 726-9355

Fax

(330) 726-9444

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Errin Christine Williams, CMA

Title

Office Manager

Phone

(330) 726-9355

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1972784734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1650",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-726-9355",
            "fax_number": "330-726-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1650",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-726-9355",
            "fax_number": "330-726-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERRIN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-726-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-95666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillibonn (Health Source of Boardman)
• Kathleen A. Lindstrom, PH.D.
• Pamella Linville
• Tina Lisko, LPN
• Living Independently, LLC
• Lock and Key ABA Therapy Group
• Timothy Lockso, D.O.
• Lori Logan
• Richard J Loges III, MD
• Mark Timothy Lomasney, DO

• Family Medicine Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.