Individual
LESLIE LEZELL LEVITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 CENTENNIAL DR, EAST ENTRANCE, PEABODY, MA 01960-7900
(978) 826-7230
(978) 826-7237
Mailing address
10 CENTENNIAL DR, EAST ENTRANCE, PEABODY, MA 01960-7900
(978) 826-7230
(978) 826-7237
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232255
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486537
AETNA/US HEALTHCARE
MA
01
—
071164
TUFTS
MA
01
—
274394
HARVARD PILGRIM
MA
01
—
7619618001
CIGNA
MD
01
—
NP4430
BLUECROSS/BLUESHIELD
MA
Enumeration date
08/11/2006
Last updated
07/08/2007
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