Lev Volod LMT

NPI 1720114051 - Specialist - 174400000X

NPI Details
NPI 1720114051
Gender Male
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5318 COVENTRY CT
LAKE OSWEGO OR, 97035-8741, US
Phone (503) 968-6409
Fax
Business Location
5318 COVENTRY CT
LAKE OSWEGO OR, 97035-8741, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 12789
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According to our database, Mr. Lev Volod LMT NPI is 1720114051, taxonomy code is 174400000X and license number is 12789, license state is located at Oregon. Lev Volod LMT physically located at 5318 Coventry Ct, Lake Oswego OR, 97035-8741. NPI Number Lev Volod LMT has the Individual type.

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1720114051 NPI number is provided on an as is basis without warranty of any kind. 1720114051 is maintained by the National Plan & Provider Enumeration System. The contents of Lev Volod LMT are for informational purposes only.