Provider Demographics
NPI:1730491465
Name:LEVICK-DOANE, LISA TOMMI (DPM)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:TOMMI
Last Name:LEVICK-DOANE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1535 LAKE COOK RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1447
Mailing Address - Country:US
Mailing Address - Phone:248-752-7520
Mailing Address - Fax:
Practice Address - Street 1:1535 LAKE COOK RD STE 206
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1451
Practice Address - Country:US
Practice Address - Phone:224-723-5588
Practice Address - Fax:224-723-5699
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005741213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery