Individual
LISA M LEVHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 MULBERRY ST STE 204, LEEDS, MA 01053-5339
(413) 727-3901
(413) 727-3902
Mailing address
PO BOX 313, LEEDS, MA 01053-0313
(413) 727-3901
(413) 727-3902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066851
—
MA
Enumeration date
08/10/2006
Last updated
03/08/2021
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