Provider Demographics
NPI:1386830321
Name:LEVER, SOPHIA ANN
Entity type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:ANN
Last Name:LEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4336 ELK DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-7735
Mailing Address - Country:US
Mailing Address - Phone:925-778-2871
Mailing Address - Fax:
Practice Address - Street 1:100 ELLINWOOD WAY
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4817
Practice Address - Country:US
Practice Address - Phone:925-969-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program