Healthcare Provider Details

I. General information

NPI: 1386553451
Provider Name (Legal Business Name): CONNER LIVINGSTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 TULANE AVE BLDG 1
NEW ORLEANS LA
70119-7186
US

IV. Provider business mailing address

3303 TULANE AVE BLDG 1
NEW ORLEANS LA
70119-7186
US

V. Phone/Fax

Practice location:
  • Phone: 504-377-6628
  • Fax:
Mailing address:
  • Phone: 504-377-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: