Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD036537 | DC |
Y | 2080P0208X | Pediatric Infectious Diseases | 0101246950 | VA |
NPI | 1588839922 |
---|---|
Provider Name | Dr. Rebecca Eileen Levorson |
First Address | Fairfax, VA 22031-2241 |
Second Address | Fairfax, VA 22031-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 07/08/2019 |