Harry R Lively MD INC
Internal Medicine, Cardiovascular Disease in Visalia, CA. Organization (NPI-2).
Details
- NPI
- 1679720700
- Entity type
- Organization (NPI-2)
- Legal business name
- Harry R Lively MD INC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2008
- Last updated
- Apr 28, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | G56294 | CA | Yes |
Practice location
119 S Locust StSuite B
Visalia, CA 93291-6251
Phone 559-749-0223 · Fax 559-749-0886
Mailing address
Po Box 2709Visalia, CA 93279-2709
Phone 559-749-0223 · Fax 559-749-0886
Authorized official
Harry R Lively
Owner/President
5597490223
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