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The Levisa Fork River (also called simply the Levisa Fork or the Levisa Fork of the Big Sandy River) is a tributary of the Big Sandy River, approximately 164 mi (264 km) long, in southwestern Virginia and eastern Kentucky in the United States.
It rises in the Appalachian Mountains of southwestern Virginia, in eastern Buchanan County, near Grundy. It flows west into Pike County, Kentucky, where it receives the Russell Fork River and is impounded to form Fishtrap Lake reservoir, then northwest past Pikeville and Prestonsburg. At Paintsville it turns to the NNE, flowing through Johnson and Lawrence counties. It joins the Tug Fork from the southwest at Louisa on the West Virginia state line to form the Big Sandy.
The river is partly navigable for commercial purposes through a series of locks.
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