Organization
LAWRENCE LEVIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L STOREY (PT ACCTS SUPERVISOR)
(541) 245-6012
Entity
Organization
Contact information
Practice address
1365 POPLAR DR, MEDFORD, OR 97504-5207
(541) 245-6012
(541) 245-6012
Mailing address
1365 POPLAR DR, MEDFORD, OR 97504-5207
(541) 245-6012
(541) 245-6012
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286445
—
OR
Enumeration date
11/16/2007
Last updated
12/27/2007
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