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Ms. Terry Lynn Lively, CPCP
Other Specialist/Technologist in Canyon Lake, Texas
NPI 1184268609

Terry Lynn Lively is a Other Specialist/Technologist based in Orlando, TX. Terry Lynn Lively practices in Canyon Lake, TX and has the professional credentials of CPCP. The NPI Number for Terry Lynn Lively is 1184268609 and holds a License No. (Texas).

The current practice location address for Terry Lynn Lively is 1478 Fm 2673, Canyon Lake, TX and can be reached out via phone at 407-982-4876 and via fax at 407-650-2754.

Location: 1478 Fm 2673, Canyon Lake, TX, 32819-7220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184268609
Provider Name
Terry Lynn Lively
Credential
CPCP
Provider Entity Type
Individual
Gender
Female
Address
1478 Fm 2673, Canyon Lake, TX, 32819-7220
Phone Number
407-982-4876
Fax Number
407-650-2754
Provider Enumeration Date
10/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1478 Fm 2673
City
Canyon Lake
State
Texas
Zip
78133-4583
Phone Number
407-982-4876
Fax Number
407-650-2754
person
Provider Business Mailing Address Details
Address
1478 Fm 2673
City
Canyon Lake
State
Texas
Zip
78133-4583
Phone Number
407-982-4876
Fax Number
407-650-2754
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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