Individual
MR. LEVI LIPOVENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-6666
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-6666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00670600
NJ
Other
Enumeration date
07/13/2018
Last updated
07/14/2022
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