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Shane Levenson
NPI 1740658541 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2603 Lower Gainesville Rd
Stennis Space Center, MS 39529 - Phone
- (228) 813-4000
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi