Individual
LORRAINE LEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SW 13TH ST, NONE, GAINESVILLE, FL 32608-4006
(215) 847-4616
Mailing address
4300 SW 13TH ST, NONE, GAINESVILLE, FL 32608-4006
(215) 847-4616
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
H5G9K3Z8
FL
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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