Livingston Ent

NPI #1043542905 in Brighton, Michigan

Provider Information

NPI Number: 1043542905
Entity Type: Organization
Organization Name: Livingston Ent
Primary Specialty: Specialist
Enumeration Date: Feb 3, 2010
Last Updated: Feb 3, 2010

Practice Location

Address: 2300 GENOA BUSINESS PARK DR
Address 2: SUITE 130
City: Brighton
State: Michigan
ZIP Code: 48114-7367
Phone: (810) 227-3687

Authorized Official

Name: MRS. SHANNON L JASCOE
Title: OFFICE MANAGER
Phone: (810) 227-3687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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