MEDICARE: LEXSUS LEVINGS

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	363LF0000X	Family Nurse Practitioner	214603	LA

General Provider Information

NPI Number	:	1265267066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXSUS LEVINGS

Provider Business Mailing Address
First Line	:	1715 COMMON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6135
Country	:	US
Telephone Number	:	337-439-1386
Fax Number	:	337-439-5875

Provider Business Practice Location Address
First Line	:	1715 COMMON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6135
Country	:	US
Telephone Number	:	337-439-1386
Fax Number	:	337-439-5875

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

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/10/2025

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Directions to “ LEXSUS LEVINGS ” Practice Location

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