Dr. Lawrence Jay Levens
Orthodontists
2821 N Ballas Rd Suite 155
Saint Louis
, Missouri 63131-2321
Dr. Lawrence Jay Levens
Orthodontists
2821 N Ballas Rd Suite 155
Saint Louis
, Missouri 63131-2321
(314) 872-3219
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Lawrence Jay Levens
- 2821 N Ballas Rd Suite 155
- Saint Louis, MO
- Zip : 63131-2321
- Fax : (314) 872-3219
- Phone : (314) 872-3218
Second Address
- Dr. Lawrence Jay Levens
- 2821 N Ballas Rd Suite 155
- Saint Louis, MO
- Zip : 63131-2321
- Fax : (314) 872-3219
- Phone : (314) 872-3218
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 014562 | MO |
National Provider Identifier
| NPI | 1043350424 |
|---|---|
| Provider Name | Dr. Lawrence Jay Levens |
| First Address | Saint Louis, MO 63131-2321 |
| Second Address | Saint Louis, MO 63131-2321 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 014562 | STATE LICENSE NUMBER (01) | MO |
| 1366646622 | NPI TYPE 2 (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.