Mahala Livingston, MD
Student in an Organized Health Care Education/Training Program in Jefferson, LA. Individual provider (NPI-1).
NPI number1104744754
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1104744754
- Entity type
- Individual (NPI-1)
- Name
- Mahala Livingston
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2026
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 353007 | LA | Yes |
Practice location
1401a Jefferson HwyJefferson, LA 70121-2426
Phone 866-624-7637
Mailing address
1401a Jefferson HwyJefferson, LA 70121-2426
Phone 866-624-7637
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All 214 Student in an Organized Health Care Education/Training Program providers in Jefferson · All 754 providers in Jefferson
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