EDWIN LOCKWOOD LEAVITT

FORT MEADE, MD
NPI1265653596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0001832)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- EDWIN LOCKWOOD LEAVITT PA-C
2257 HUBER ROAD
FORT MEADE, MD 20755-5378
Phone number: 443-845-6295
Mailing Address
-- EDWIN LOCKWOOD LEAVITT PA-C
2043 RIVER DOWNS CT
FOREST HILL, MD 21050-3142
Phone number: 443-845-6295
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