Provider Information for 1912607755
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Mrs. KARMYN LATRECE LEVY MA; PLPC
Sex: Female
NPI: 1912607755
Last Updated: 2023-06-16
Certification Date: 2023-06-16
Certification Date: 2023-06-16
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1912607755 | ||||||||||||||||||||
| Enumeration Date | 2023-03-09 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 13170 DUTCHTOWN POINT AVE APT 1724 GONZALES, LA 70737-0106 United States Phone: 225-623-9625 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 1500 LAFAYETTE ST STE 140B GRETNA, LA 70053-5762 United States Phone: 504-533-9152 | Fax:504-533-9154 | ||||||||||||||||||||
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