Individual
LYNDSEY BROOKE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2931 GEORGE DIETER DR, EL PASO, TX 79936-2941
(915) 593-5437
Mailing address
2931 GEORGE DIETER DR, EL PASO, TX 79936-2941
(915) 593-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1036064
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1036064
TX
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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