Individual
LOURDES DORADO LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(772) 873-8811
(772) 873-8800
Mailing address
2841 SW ROSSER BLVD, PORT ST LUCIE, FL 34953-4150
(954) 549-4385
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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