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Individual

LORI LITTLE-LEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
743 CAROLYN RD, WASHINGTON COURT HOUSE, OH 43160-2348
(740) 335-8877
Mailing address
5233 THORNHILL CT, GROVE CITY, OH 43123-9403

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-019345
OH
253Z00000X
In Home Supportive Care Agency
372600000X
Adult Companion

Other

Enumeration date
08/30/2017
Last updated
05/24/2022
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