Individual
DR. STACI L LEVICK
Active
Individual
DR. STACI L LEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OSD07490L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001600189002
—
PA
01
—
1044866
KEYSTONE MERCY
PA
01
—
783840
BLUE SHIELD OF PA
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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