Provider Demographics
NPI:1871544668
Name:LIVINGSTON, SHAREE L (DO)
Entity type:Individual
Prefix:
First Name:SHAREE
Middle Name:L
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:409 SOUTH SECOND STREET
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1575 HIGHLANDS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7687
Practice Address - Country:US
Practice Address - Phone:717-627-1888
Practice Address - Fax:717-627-1817
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013677207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015837790003Medicaid