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Individual
LAURENCE MARTIN LEVETT
Active
Individual
LAURENCE MARTIN LEVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3303
TX
208M00000X
Hospitalist Physician
K3303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069NK
BC/BS ID
TX
05
—
164788502
—
TX
05
—
164788503
—
TX
01
—
8W2431
BC/BS
TX
Enumeration date
07/31/2006
Last updated
09/28/2016
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