| Lynn Livingston Sole Mbr | |
|
2530 Lawrenceville Hwy Decatur GA 30033 | |
| (770) 939-9779 | |
| (770) 939-2393 |
| Full Name | Lynn Livingston Sole Mbr |
|---|---|
| Speciality | Dentist |
| Location | 2530 Lawrenceville Hwy, Decatur, Georgia |
| Authorized Official Name and Position | Lynn Allen Livingston (CEO) |
| Authorized Official Contact | 7709399779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Livingston Sole Mbr 2530 Lawrenceville Hwy Decatur GA 30033 Ph: (770) 939-9779 | Lynn Livingston Sole Mbr 2530 Lawrenceville Hwy Decatur GA 30033 Ph: (770) 939-9779 |
| NPI Number | 1689169096 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689169096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012830 (Georgia) | Primary |
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