MEDICARE: JOANNE LEOVY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	NV9931	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316946593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE LEOVY MD

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:	775-888-4904

Provider Business Practice Location Address
First Line	:	2225 CIVIC CENTER DR
Second Line	:	SUITE 224
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6338
Country	:	US
Telephone Number	:	702-214-5948
Fax Number	:	702-214-9439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	09/16/2015

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Directions to “ JOANNE LEOVY MD” Practice Location

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