MEDICARE: DR. NANCY LIVINGSTONE D.C.

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	111N00000X	Chiropractor	DC 17378	CA

General Provider Information

NPI Number	:	1164636643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY LIVINGSTONE D.C.

Provider Business Mailing Address
First Line	:	1157 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	310-274-1244
Fax Number	:	310-277-1331

Provider Business Practice Location Address
First Line	:	1157 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	310-274-1244
Fax Number	:	310-277-1331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	01/25/2012

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