Individual
THELLEA K LEVEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-2020
Mailing address
325 9TH AVE, BOX 359608, SEATTLE, WA 98104-2420
(206) 744-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60001440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238882
L&I PIN
WA
05
—
1457369167
—
WA
Enumeration date
08/04/2006
Last updated
04/03/2014
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