| Doctor Name: | MRS. LORI LEVIT |
| NPI Number: | 1811170640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704256982 |
| Business Practice Address: | 30781 Stephenson Hwy Madison Hts, MI - 480711618 |
| Business Phone Number: | 2698571012 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2644, DOUGLAS |
| State: | MI |
| Postal Code: | 494062644 |
| Phone Number: | 2698571012 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2007 |
| NPI Last Update Date: | 12/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704256982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |