MS. Terry Lynn Lively, CPCP
NPI #1184268609 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1184268609
- Entity Type
- Individual
- Name
- MS. Terry Lynn Lively, CPCP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- CPCP
- Enumeration Date
- Oct 29, 2019
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 1478 FM 2673
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-4583
- Phone
- (407) 982-4876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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