Doctor Name: | STEPHANIE ROSALIND LUBIN-LEVY |
NPI Number: | 1528403508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | RN2269925 |
Business Practice Address: | 223 Chief Justice Cushing Hwy Suite 101 Cohasset, MA - 020251391 |
Business Phone Number: | 7813836800 |
Business Fax Number: | |
Mailing Address: | 223 Chief Justice Cushing Hwy, Suite 101 COHASSET |
State: | MA |
Postal Code: | 020251391 |
Phone Number: | 7813836800 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2013 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN2269925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |