NPI 1053271874
Levi Hakanson
Practice location
- Address
- 4847 W Talamore Dr, Meridian, ID 83646-8846
- Phone
- (208) 509-9868
- Mailing address
- 2056 Kelly Dr, Payette, ID 83661-5013
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1053271874
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Nov 2025
- Record last updated
- 13 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.