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Individual

LAWRENCE ALLEN LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00092600
NJ
213E00000X
Podiatrist
SC001429L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004916
AETNA
NJ
01
0070293
GROUP HEALTH INS.
01
0090238000
PA BLUE SHIELD
PA
01
1085556
HORIZON NJ HEALTH
NJ
01
14952
AMERIGROUP
NJ
05
155550201
NJ
01
16720
UNIVERSITY HEALTH PLAN
01
24074
OPERATING ENGINEERS
NJ
01
4394780
AETNA
01
4800233093
RAIL ROAD MEDICARE
01
CA000033400
AMERICHOICE OF NJ
NJ
01
F14284
HEALTH NET
01
FO110209
KEYSTONE MERCY
PA
01
P898164
OXFORD
Enumeration date
06/24/2006
Last updated
09/20/2011
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