Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 04652 | LA |
NPI | 1477526598 |
---|---|
Provider Name | Dr. Stephen D Levine |
First Address | New Orleans, LA 70118-5720 |
Second Address | Covington, LA 70433-9123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 24/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1365335 | (05) | LA |
F17155 | (02) | LA |