Individual
BARRY MICHAEL LEVET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(800) 962-3959
Mailing address
205 SPYGLASS LN, BROUSSARD, LA 70518-6106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14632R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123943
—
LA
Enumeration date
04/07/2006
Last updated
07/08/2007
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