Individual
DR. MICHELLE FRAN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2446 MOUNTAIN RD, PASADENA, MD 21122-1298
(410) 255-8056
(410) 360-8689
Mailing address
2446 MOUNTAIN RD, PASADENA, MD 21122-1298
(410) 255-8056
(410) 360-8689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800368800
—
MD
Enumeration date
10/04/2006
Last updated
05/29/2013
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