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
Phone: (215) 662-3580
Fax: (215) 662-7445
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104855634 | NPPES |
| Pennsylvania | MEDICAID | 0012815230001 |
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