| Doctor Name: | MRS. ABBY MARIE LEVITZ |
| NPI Number: | 1083918833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 71003495A |
| Business Practice Address: | 2120 N Detroit St Lagrange, IN - 467611147 |
| Business Phone Number: | 2604632468 |
| Business Fax Number: | 2604634237 |
| Mailing Address: | 2120 N Detroit St, LAGRANGE |
| State: | IN |
| Postal Code: | 467611147 |
| Phone Number: | 2604632468 |
| Fax Number: | 2604634237 |
| NPI Enumeration Date: | 01/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003495A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |