Individual
DR. LAURENCE W LEVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 10TH ST, BAKER CITY, OR 97814-1403
(541) 523-7706
(541) 523-6385
Mailing address
2805 10TH ST, BAKER CITY, OR 97814-1403
(541) 523-7706
(541) 523-6385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11285
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005470
—
OR
Enumeration date
09/30/2006
Last updated
03/14/2008
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