MEDICARE: LAURENCE ARVIN LEVINE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD R4836	MO

General Provider Information

NPI Number	:	1588675177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURENCE ARVIN LEVINE M.D.

Provider Business Mailing Address
First Line	:	11618 GRAVOIS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-3014
Country	:	US
Telephone Number	:	314-842-1900
Fax Number	:	314-842-9185

Provider Business Practice Location Address
First Line	:	11618 GRAVOIS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-3014
Country	:	US
Telephone Number	:	314-842-1900
Fax Number	:	314-842-9185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	04/04/2012

Similar Medicare Providers

1083612253 — MBS ADVANTAGE INC
Practice Location Address:

11618 GRAVOIS RD
SAINT LOUIS, MO
63126-3014

Practice Phone: 314-842-1900
Practice Fax: 314-842-9185

1972541233 — MRS. JEAN LOUISE FOSTER M.A.-C.C.C./S.L.P,
Practice Location Address:

11618 GRAVOIS RD
SAINT LOUIS, MO
63126-3014

Practice Phone: 314-842-1900
Practice Fax:

1386651685 — DR. JANE ALLISON OTTO M.A.M.S., D.M.D.
Practice Location Address:

11624 GRAVOIS RD
SAINT LOUIS, MO
63126-3014

Practice Phone: 314-842-2442
Practice Fax: 314-842-2467

1588488563 — ESSENTIAL MIND HEALTHCARE LLC
Practice Location Address:

5775 WAYZATA BLVD STE 700-3014
SAINT LOUIS PARK, MN
55416-1222

Practice Phone: 612-305-8045
Practice Fax:

1598858359 — TRACEY LYNN WILKINS LICSW
Practice Location Address:

944 GRAND AVE
SAINT PAUL, MN
55105-3014

Practice Phone: 651-222-9985
Practice Fax:

1356439160 — DR. PAUL DAVID AMBLE DDS
Practice Location Address:

960 GRAND AVE
SAINT PAUL, MN
55105-3014

Practice Phone: 651-291-9667
Practice Fax: 651-291-0033

Directions to “ LAURENCE ARVIN LEVINE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.