Individual
DR. LANNY R. LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1507 HUGUENOT RD, SUITE 100, MIDLOTHIAN, VA 23113-2485
(804) 379-9800
(804) 379-9956
Mailing address
1507 HUGUENOT RD, SUITE 100, MIDLOTHIAN, VA 23113-2485
(804) 379-9800
(804) 379-9956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05331
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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