Individual
LAURENCE ARVIN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11618 GRAVOIS RD, SAINT LOUIS, MO 63126-3014
(314) 842-1900
(314) 842-9185
Mailing address
11618 GRAVOIS RD, SAINT LOUIS, MO 63126-3014
(314) 842-1900
(314) 842-9185
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD R4836
MO
Other
Enumeration date
08/10/2006
Last updated
04/04/2012
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