Individual provider · Type 1 NPI

Michelle Marie Lively, LSW

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1255765749 Active

Practice location

227 Colfax Ave N, 130
Minneapolis, MN 55405-1402

Call (651) 222-0757 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255765749

Michelle Marie Lively, LSW's National Provider Identifier is 1255765749, issued on Sep 3, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 3, 2013.