Individual
LISA SUWANNA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 MYRTLE ST STE 220, ERIE, PA 16502-4612
(814) 454-8185
Mailing address
242 BELLEVUE AVE APT F, MONTCLAIR, NJ 07043-1341
(404) 384-5705
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD485588
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
06/10/2020
Last updated
07/23/2024
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