Individual
DR. LAURA BETH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD11219
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7050126
—
RI
Enumeration date
07/28/2006
Last updated
07/13/2007
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