Provider Demographics
NPI:1881585529
Name:LIVWELL. PHYSICIANS
Entity type:Organization
Organization Name:LIVWELL. PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANALUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:248-496-0214
Mailing Address - Street 1:9795 BIRCH RUN
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-8951
Mailing Address - Country:US
Mailing Address - Phone:248-496-0214
Mailing Address - Fax:
Practice Address - Street 1:7990 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7326
Practice Address - Country:US
Practice Address - Phone:248-496-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care