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Individual

DR. IAN MICHAEL LEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5540 CENTERVIEW DR, SUITE 423, RALEIGH, NC 27606-3369
(919) 859-1014
Mailing address
5540 CENTERVIEW DR, SUITE 423, RALEIGH, NC 27606-3369
(919) 859-1014

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20616
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8951768
NC
Enumeration date
01/30/2007
Last updated
12/04/2011
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