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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X |
| NPI Number | 1861151268 |
| LBN Legal business name | LIVEWELL GASTROENTEROLOGY, PLLC |
| Authorized official | AMY DICHIARA - (MANAGING MEMBER/ PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/13/2021 |
| Last updated | 12/13/2021 - About 4 years ago |
| Identifiers | n/a |
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LIVEWELL GASTROENTEROLOGY, PLLC