Provider Demographics
NPI:1710014980
Name:LEVINE, DAVID LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:506 POINT LOBOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1435
Mailing Address - Country:US
Mailing Address - Phone:415-751-3031
Mailing Address - Fax:415-352-2050
Practice Address - Street 1:506 POINT LOBOS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1435
Practice Address - Country:US
Practice Address - Phone:423-508-2294
Practice Address - Fax:415-352-2050
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2017-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC361342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C361340Medicare UPIN