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NPI Code Detail

MEDICARE: DR. SARAH LEVAN

MEDICARE: DR. SARAH LEVAN
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
1183500000XPharmacist19754NC

General Provider Information

NPI Number : 1760092241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH LEVAN
Provider Business Mailing Address
First Line : 103 KELSEY CT
Second Line :
City : CLAYTON
State : NC
Zip : 27520-5802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 670 LILLINGTON HWY
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-2119
Country : US
Telephone Number : 910-436-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2020
Last Update Date : 08/09/2020

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