Individual
PENELOPE LEVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2000
Mailing address
4801 AMBASSADOR CAFFERY PKWY, OUR LADY OF LOURDES, RMC, LAFAYETTE, LA 70508-6917
(337) 470-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07948
LA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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