Individual
LAWRENCE M LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3400 SPRUCE ST, 5 WHITE BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3580
(215) 662-7445
Mailing address
3400 SPRUCE ST, 5 WHITE BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3580
(215) 662-7445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS025560L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD421768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012815230001
—
PA
Enumeration date
06/30/2006
Last updated
09/03/2015
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