Individual
MARY LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
9094 E MINERAL CIR STE 120, CENTENNIAL, CO 80112-7201
(303) 779-5437
(303) 689-9628
Mailing address
9094 E MINERAL CIR STE 120, CENTENNIAL, CO 80112-7201
(303) 779-5437
(303) 689-9628
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19613387
CO
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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