Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 016980 | LA |
NPI | 1063415594 |
---|---|
Provider Name | Alma Rivera-Levy |
First Address | Covington, LA 70433-9123 |
Second Address | Covington, LA 70433-7500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2005 |
Last Update Date | 30/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1338117 | (05) | LA |
G93907 | (02) | LA |