Individual
DR. SUSAN LYNNE LEVERSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1103 NE ELM ST STE A, PRINEVILLE, OR 97754-1664
(541) 447-4111
Mailing address
1103 NE ELM ST STE A, PRINEVILLE, OR 97754-1664
(541) 447-4111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012668
OR
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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