Provider Demographics
NPI:1861557506
Name:LEVERRIER, REGINA YVONNE (MD)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:YVONNE
Last Name:LEVERRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15257 W WARREN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-6432
Mailing Address - Country:US
Mailing Address - Phone:917-328-0799
Mailing Address - Fax:
Practice Address - Street 1:4441 E KINGS CANYON ROAD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702
Practice Address - Country:US
Practice Address - Phone:559-600-4099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1804692084P0800X
IL036.1462082084P0800X
CODR.480922084P0800X
CAG1700392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01885749Medicaid
F40393Medicare UPIN
NY028BT1Medicare PIN