Lewandowski, Gregory P

Lewandowski, Gregory P is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lewandowski, Gregory P can be contacted via phone (505) 662-9256.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Phone: (505) 662-9256
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R42821 New Mexico

Profile Details

NPI number 1679684021
LBN Legal business name Lewandowski, Gregory P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 2nd, 2014 - about 11 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 1679684021 NPPES
New Mexico MEDICAID A1676
New Mexico Other NM006H10

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