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Individual

DR. RENEE A LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-0847
(225) 766-1417
Mailing address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 215-1311
(225) 215-1380

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10830R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1993603
LA
Enumeration date
09/20/2006
Last updated
12/21/2009
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