Individual provider · NPI-1

Dr. Lawrence Paul Levine, M.D.

Family Medicine · Newington, CT

NPI number1083781231
StatusActive
Last updated in NPPESMay 15, 2014

Details

NPI
1083781231
Entity type
Individual (NPI-1)
Name
Dr. Lawrence Paul Levine
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2006
Last updated
May 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine033761CTYes
207P00000X Emergency Medicine033761CT

Practice location

2909 Berlin Tpke
Newington, CT 06111-4115

Phone 860-436-3757

Mailing address

Po Box 2699
Dept 200
Hartford, CT 06146-2699

Phone 866-898-7138 · Fax 616-975-9824

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