Individual
DR. BRIAN THOMAS LEVATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 GRAMMONT ST, MONROE, LA 71201-7516
(318) 325-2634
(318) 812-1205
Mailing address
611 GRAMMONT ST, MONROE, LA 71201-7516
(318) 325-2634
(318) 812-1205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PGY.1.EKL.IM
LA
207RG0100X
Gastroenterology Physician
Primary
202172
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006114
—
LA
Enumeration date
08/22/2007
Last updated
11/14/2013
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