Individual
DR. JOHN EDWARD LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
312 W UNIVERSITY AVE, SUITE A, LAFAYETTE, LA 70506-3648
(337) 236-9880
(337) 236-9885
Mailing address
312 W UNIVERSITY AVE, SUITE A, LAFAYETTE, LA 70506-3648
(337) 236-9880
(337) 236-9885
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5696
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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