Individual
RICHARD LAWRENCE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 HIGHWAY 28, SUITE 201, JASPER, TN 37347-3695
(423) 942-2000
(423) 942-2023
Mailing address
1115 HEALING SPRINGS RD, CHATTANOOGA, TN 37419-1043
(561) 601-6339
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
03092R
LA
208800000X
Urology Physician
17433 020
WI
208800000X
Urology Physician
Primary
41293
TN
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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