Healthcare Provider Details

I. General information

NPI: 1790996858
Provider Name (Legal Business Name): KAI UWE LEWANDROWSKI MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4787 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

IV. Provider business mailing address

4787 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

V. Phone/Fax

Practice location:
  • Phone: 520-204-1495
  • Fax: 888-536-0517
Mailing address:
  • Phone: 520-204-1495
  • Fax: 888-536-0517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number32532
License Number StateAZ

VIII. Authorized Official

Name: DR. KAI UWE LEWANDROWSKI
Title or Position: MANAGER
Credential: M.D.
Phone: 520-204-1495