Levin, Lawrence M

Levin, Lawrence M is an individual health care provider with primary practice located at 3400 Spruce St 5 White Building, Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Dentist. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Levin, Lawrence M can be contacted via phone (215) 662-3580.

Contact Information

Primary practice address
3400 Spruce St 5 White Building Philadelphia PA 19104-4206
Fax: (215) 662-7445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD421768 Pennsylvania
Dental Providers / Dentist 122300000X DS025560L Pennsylvania

Profile Details

NPI number 1104855634
LBN Legal business name Levin, Lawrence M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104855634 NPPES
Pennsylvania MEDICAID 0012815230001

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