BRIAN SCOTT LIVINGSTON

LAFAYETTE, IN
NPI1811314180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01078608A)
Enumeration Date2014-03-25
Last Update Date2023-10-20
Business Address
BRIAN SCOTT LIVINGSTON
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4917
Mailing Address
BRIAN SCOTT LIVINGSTON
PO BOX 78838
DETROIT, MI 48278-8838
Phone number: 317-528-4800