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Individual

DAVID LAWRENCE LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417 STATE ST, STE 321, BANGOR, ME 04401-6638
(207) 973-8833
(207) 973-8836
Mailing address
417 STATE ST, STE 321, BANGOR, ME 04401-6638
(207) 973-8833
(207) 973-8836

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
010259
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302030099
ME
Enumeration date
06/24/2005
Last updated
05/06/2010
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