Individual
LEWIS A LEAVITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705
(608) 263-5815
(608) 833-6932
Mailing address
8007 EXCELSIOR DRIVE, MADISON, WI 53717
(608) 829-5238
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
17402
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31031500
—
WI
Enumeration date
03/10/2006
Last updated
07/08/2007
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