Individual
DONNA RICHARD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
524 S RYAN ST, LAKE CHARLES, LA 70601-5725
(337) 491-7100
Mailing address
1042 CAMELLIA BLVD, 3203, LAFAYETTE, LA 70508-6680
(337) 356-5760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN04523 AP03113
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532614
—
LA
Enumeration date
08/17/2006
Last updated
07/08/2007
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