# SHELLY A LEVULIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730480914
- **Authorized official:** SHELLY A LEVULIS DPM (PODIATRIST)
- **Authorized official phone:** (570) 287-1955

## Contact information

- **Practice address:** 33 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4424
- **Practice address phone:** (570) 287-1955
- **Practice address fax:** (570) 287-1995
- **Mailing address:** 33 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4424
- **Mailing address phone:** (570) 287-1955
- **Mailing address fax:** (570) 287-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005978 | PA | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/16/2010