Provider Demographics
NPI:1013378546
Name:LEVINS, LETHA (IBCLC, LM)
Entity Type:Individual
Prefix:
First Name:LETHA
Middle Name:
Last Name:LEVINS
Suffix:
Gender:F
Credentials:IBCLC, LM
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:LEVINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPM, LM
Mailing Address - Street 1:531 MERRILL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-6203
Mailing Address - Country:US
Mailing Address - Phone:713-449-0243
Mailing Address - Fax:
Practice Address - Street 1:722 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2312
Practice Address - Country:US
Practice Address - Phone:713-449-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11182862174N00000X
TX99249176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN