Individual
MR. LEVI JON LAWRY-SHEFCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Mailing address
422 LUSH WOODS TRL, VERONA, WI 53593-8169
(608) 235-2260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7961-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265165682
—
WI
Enumeration date
07/04/2022
Last updated
09/27/2024
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