Healthcare Provider Details

I. General information

NPI: 1780973040
Provider Name (Legal Business Name): LACHARA VERNELL LIVINGSTON-FIELDS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LACHARA VERNELL LIVINGSTON MD

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7605 FOREST AVE STE 103
RICHMOND VA
23229-4936
US

IV. Provider business mailing address

PO BOX 603725
CHARLOTTE NC
28260-3725
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-0055
  • Fax: 804-288-2659
Mailing address:
  • Phone: 828-575-2625
  • Fax: 828-350-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number0101267010
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: