Individual
LANCE RICHARD LEVITSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Mailing address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-03-3689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120497
ANTHEM BC/BS
—
01
—
0004488694
AETNA
—
05
—
0225750
—
OH
01
—
0800775
UNITED HEALTHCARE
—
Enumeration date
02/28/2006
Last updated
07/08/2007
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