Levine, Lena Marie

Levine, Lena Marie is an individual health care provider with primary practice located at 1250 8Th Ave Ste 600 , Fort Worth TX 76104-4121. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Levine, Lena Marie can be contacted via phone (817) 702-9100.

Contact Information

Primary practice address
1250 8Th Ave Ste 600 Fort Worth TX 76104-4121
Phone: (817) 702-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X T312011 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2094 Texas

Profile Details

NPI number 1326334483
LBN Legal business name Levine, Lena Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326334483 NPPES
Texas Other 8EJ945 BCBS
Texas Other P01447524 BCBS
Texas MEDICAID 337722801 BCBS

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