Most Relevant Information
Provider Data
| NPI Number: | 1003520230 |
| Provider Name: | RENEE NAOMI LIVESAY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 600525 |
Most Important Dates
| Enumeration Date: | 01/11/2023 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
8504 KENOSHA DR
LUBBOCK
TX
794232727
Practice Location Phone/Fax
| Phone: | 8067735880 |
| Fax: |
Provider Mailing Location
8504 KENOSHA DR
LUBBOCK
TX
794232727
Provider Mailing Phone/Fax
| Phone: | 8067735880 |
| Fax: |