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Jonathan Lively, PA
NPI 1285763391 · on the registry since 2007 · sole proprietor
Practice
- Address
- 600 Gresham Dr Ste 8630b
Norfolk, VA 23507 - Phone
- (757) 388-6115
- Organisation at this address
- Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara HospitalsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 670
Additional practice sites
- 111 Michigan Ave Nw, Washington, DC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- VA, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia