MEDICARE: LIVINGSTON INTERNAL MEDICINE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	LL054305	MI

General Provider Information

NPI Number	:	1114966587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGSTON INTERNAL MEDICINE, PC

Provider Business Mailing Address
First Line	:	8833 HIDDEN LAKE DR
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-9212
Country	:	US
Telephone Number	:	810-355-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	8833 HIDDEN LAKE DR
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-9212
Country	:	US
Telephone Number	:	810-355-6883
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LINDA C LACHANCE
Credential	:	MD
Telephone Number	:	810-355-6883

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/12/2026

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