Individual
LAWRENCE STEVEN LEVINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OLD RT 220, BOX 334, TIPTON, PA 16684-0334
(814) 684-4600
(814) 684-5557
Mailing address
PO BOX 334, TIPTON, PA 16684-0334
(814) 684-4600
(814) 684-5557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030356E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239600
—
PA
Enumeration date
09/11/2006
Last updated
07/08/2007
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