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Contact Information

LIVEA MEDICAL PLLC
3495 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN55448-6713
 Phone: 763-210-2608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for LIVEA MEDICAL PLLC

NPI Number 1679386346
LBN Legal business name LIVEA MEDICAL PLLC
Authorized official ANDREA SOWERS - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2025
Last updated 08/20/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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