| Doctor Name: | LAURA C LEVENHAGEN |
| NPI Number: | 1700154341 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 2134-146 |
| Business Practice Address: | 4849 Village Ct Apt 3 Nashotah, WI - 530589665 |
| Business Phone Number: | 2627197779 |
| Business Fax Number: | |
| Mailing Address: | 4849 Village Ct Apt 3, NASHOTAH |
| State: | WI |
| Postal Code: | 530589665 |
| Phone Number: | 2627197779 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2011 |
| NPI Last Update Date: | 12/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM1400X |
| License Number: | 2134-146 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nurse Massage Therapist (NMT) |
| Taxonomy Definition: | |