Individual
DR. LAWRENCE A LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 S ELISEO DR, SUITE 104, GREENBRAE, CA 94904-2023
(415) 925-3075
(415) 925-3070
Mailing address
1300 S ELISEO DR, SUITE 104, GREENBRAE, CA 94904-2023
(415) 925-3075
(415) 925-3070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G23281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY48869Y
—
CA
Enumeration date
07/12/2006
Last updated
01/12/2010
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