Individual
SUSAN DALE LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10001 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2700
(540) 834-2020
Mailing address
11 RUFFIAN DR, STAFFORD, VA 22556-6662
(540) 752-5043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001045
VA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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