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Individual
DR. LAURENCE B LEVENBERG
Active
Individual
DR. LAURENCE B LEVENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME48219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02457
BCBS
FL
05
—
375250000
—
FL
Enumeration date
10/24/2005
Last updated
06/18/2014
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