Individual
DR. LYNNE L LEVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 6 PEDIATRIC ENDOCRINE ASSOCIATES, BOSTON, MA 02114-2621
(617) 726-2909
(617) 724-0581
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2909
(617) 724-0581
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
71822
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
71822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071822
TUFTS HEALTH PLAN
MA
05
—
3057640
—
MA
01
—
J09202
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/23/2012
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