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Individual
LEWIS A LEAVITT
Active
Individual
LEWIS A LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
17402
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31031500
—
WI
Enumeration date
03/10/2006
Last updated
07/13/2026
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