Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME 90991 | FL |
NPI | 1134414147 |
---|---|
Provider Name | Leon Lewenstein |
First Address | Boca Raton, FL 33431 |
Second Address | Boca Raton, FL 33431-5364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 17/06/2011 |