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NPI Code Detail

MEDICARE: DR. BENJAMIN NELSON LEVRON M.D.

MEDICARE: DR. BENJAMIN NELSON LEVRON M.D.
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
1207Q00000XFamily Medicine Physician323682LA

General Provider Information

NPI Number : 1184159501
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN NELSON LEVRON M.D.
Provider Business Mailing Address
First Line : 8068 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7631
Country : US
Telephone Number : 225-763-4814
Fax Number : 225-763-4815
Provider Business Practice Location Address
First Line : 8068 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7631
Country : US
Telephone Number : 225-763-4815
Fax Number : 257-634-4814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2017
Last Update Date : 02/04/2026

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