Levine, Lena Marie
Levine, Lena Marie is an individual health care provider with primary practice located at 1250 8Th Ave Ste 600 , Fort Worth TX 76104-4121. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Levine, Lena Marie can be contacted via phone (817) 702-9100.Contact Information
Primary practice address
1250 8Th Ave Ste 600
Fort Worth TX 76104-4121
Phone: (817) 702-9100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | T312011 | Texas |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2094 | Texas |
Profile Details
| NPI number | 1326334483 |
|---|---|
| LBN Legal business name | Levine, Lena Marie |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2011 |
| Last updated | Dec 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326334483 | NPPES |
| Texas | Other | 8EJ945 | BCBS |
| Texas | Other | P01447524 | BCBS |
| Texas | MEDICAID | 337722801 | BCBS |
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