Levine, Lawrence A

Levine, Lawrence A is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Levine, Lawrence A can be contacted via phone (859) 301-7505.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-7505
Fax: (859) 301-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33387 Kentucky

Profile Details

NPI number 1083615751
LBN Legal business name Levine, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Sep 30th, 2010 - about 16 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 1083615751 NPPES
Ohio MEDICAID 0968994
Ohio MEDICAID 64938483
Ohio MEDICAID 200965380

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