Individual
LAUREN M. LEVITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4522
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124704
TX
367500000X
Certified Registered Nurse Anesthetist
R868392
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332523502
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
8839UH
BCBS
TX
01
—
P01380866
RAILROAD MEDICARE
TX
Enumeration date
07/05/2008
Last updated
03/05/2015
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