Individual
LISA LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
204 MCCOLLUM ST STE 107, LARAMIE, WY 82070-5151
(307) 742-4327
Mailing address
204 MCCOLLUM ST STE 107, LARAMIE, WY 82070-5151
(307) 742-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
175
WY
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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