CASEY LEE LIVERINGHOUSE

FARGO, ND
NPI1922568963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-25
Last Update Date2024-06-12
Business Address
CASEY LEE LIVERINGHOUSE MD
4752 PRAIRIE POND XING S
FARGO, ND 58104-5404
Phone number: 612-839-7461
Mailing Address
CASEY LEE LIVERINGHOUSE MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: