Individual
DR. ANDREW RICHARD LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00020706
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012454
—
WA
01
—
327213
LNI PROVIDER ID
WA
01
—
327252
LNI PROVIDER ID
WA
01
—
327257
LNI PROVIDER ID
WA
01
—
74118
LNI PROVIDER ID
WA
05
—
8488603
—
WA
Enumeration date
04/14/2006
Last updated
12/18/2018
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