Individual provider · Type 1 NPI
Terry Lynn Lively, CPCP
Other Specialist/Technologist · Canyon Lake, TX
NPI number
1184268609
Active
Practice location
1478 FM 2673
Canyon Lake, TX 78133-4583
Fax (407) 650-2754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
About NPI 1184268609
Terry Lynn Lively, CPCP's National Provider Identifier is 1184268609, issued on Oct 29, 2019. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Canyon Lake, TX. The record was last updated on Sep 4, 2026.