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Individual

DR. RICHARD B LEVINE

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
4241 VETERANS BLVD, SUITE 100, METAIRIE, LA 70006
(504) 888-7921
(504) 883-5384
Mailing address
4241 VETERANS BLVD, SUITE 201, METAIRIE, LA 70006-5430
(504) 888-7921
(504) 883-5384

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10881R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10881R
MEDICAL LICENSE
LA
05
1982091
LA
Enumeration date
06/13/2006
Last updated
07/08/2007
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