Provider Demographics
NPI:1295815694
Name:LEVE, MEEGAN ELISE (MD)
Entity type:Individual
Prefix:
First Name:MEEGAN
Middle Name:ELISE
Last Name:LEVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEEGAN
Other - Middle Name:E
Other - Last Name:LEVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 4330
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-4330
Mailing Address - Country:US
Mailing Address - Phone:970-926-6340
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:50 BUCK CREEK RD STE 200
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5428
Practice Address - Country:US
Practice Address - Phone:970-926-6340
Practice Address - Fax:970-926-6348
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0045659208000000X
TXM1880208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174044102Medicaid
CO917067327Medicaid
I31680Medicare UPIN
TX174044102Medicaid
CO416191YL2GMedicare PIN