MEDICARE: HEATHER DENEE LEWANDOWSKI

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	174400000X	Specialist	09-44-3164447	FL

General Provider Information

NPI Number	:	1982534426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DENEE LEWANDOWSKI

Provider Business Mailing Address
First Line	:	5452 S SUNCOAST BLVD
Second Line	:
City	:	HOMOSASSA
State	:	FL
Zip	:	34446-2002
Country	:	US
Telephone Number	:	352-247-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	5452 S SUNCOAST BLVD
Second Line	:
City	:	HOMOSASSA
State	:	FL
Zip	:	34446-2002
Country	:	US
Telephone Number	:	352-247-2034
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/27/2026

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Directions to “ HEATHER DENEE LEWANDOWSKI ” Practice Location

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