Individual
DR. LAWRENCE PAUL LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2909 BERLIN TPKE, NEWINGTON, CT 06111-4115
(860) 436-3757
Mailing address
PO BOX 2699, DEPT 200, HARTFORD, CT 06146-2699
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
033761
CT
207Q00000X
Family Medicine Physician
Primary
033761
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930109469
RAILROAD MEDICARE
—
Enumeration date
11/30/2006
Last updated
05/15/2014
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