Michael Shawn Lively, MD

NPI #1962460303 in Kerrville, Texas

Provider Information

NPI Number: 1962460303
Entity Type: Individual
Name: Michael Shawn Lively, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: May 3, 2006
Last Updated: May 12, 2009

Practice Location

Address: 710 WATER ST
City: Kerrville
State: Texas
ZIP Code: 78028-5329
Phone: (830) 258-7747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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