Basic Information
| Provider Information | |||||||||
| NPI: | 1427072420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVANDOSKI | ||||||||
| FirstName: | DIANE | ||||||||
| MiddleName: | CHRISTINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 RICE CT | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 186121411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5706754640 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1111 E END BLVD | ||||||||
| Address2: | |||||||||
| City: | WILKES BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187110030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708243521 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | MD 033850E | PA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.