Provider Demographics
NPI:1699018697
Name:LETWIN, MARY K (DVM)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:K
Last Name:LETWIN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 CHICKERING RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4535
Mailing Address - Country:US
Mailing Address - Phone:978-682-9905
Mailing Address - Fax:
Practice Address - Street 1:247 CHICKERING RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4535
Practice Address - Country:US
Practice Address - Phone:978-682-9905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2949174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian