NPI 1689509804

Breanna Lee Nicole Livingston

Practitioner Clinical Pharmacology Physician Lagrange, GA

Practice location

Address: 137 Commerce Ave, Lagrange, GA 30241-2346
Phone: (706) 883-9372

Registered specialties

Clinical Pharmacology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence PHI-023787 (GA)

Other Clinical Pharmacology providers in Georgia →

Registry record

NPI: 1689509804
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2026
Record last updated: 17 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.