Judy Diana Lively, MD

NPI #1083786735 in Martinez, California

Provider Information

NPI Number: 1083786735
Entity Type: Individual
Name: Judy Diana Lively, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 MUIR RD
City: Martinez
State: California
ZIP Code: 94553-4614
Phone: (925) 372-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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