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General NPI Number Information
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NPI Number | 1215322052
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Entity Type | Individual
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Provider Name | MELANIE LILLIAN LEVEILLE DO
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 615 N MICHIGAN ST 5TH FL
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City | SOUTH BEND
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State | IN
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Zip | 46601-1033
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Country | US
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Telephone | 574-647-7275
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Fax | 574-647-3696
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Provider Business Mailing Address
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Address Line | 3245 HEALTH DRIVE SUITE 100
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City | GRANGER
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State | IN
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Zip | 46530-3245
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Country | US
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Telephone | 574-647-1840
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Fax | 574-237-6069
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 02005376A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 02005376A
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License Number State | IN
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