Healthcare Provider Details

I. General information

NPI: 1730141185
Provider Name (Legal Business Name): SUNSHINE HEALTH PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 S DUPONT HWY SUITE 2
DOVER DE
19901-6405
US

IV. Provider business mailing address

1602 NEWPORT GAP PIKE
WILMINGTON DE
19808-6208
US

V. Phone/Fax

Practice location:
  • Phone: 302-698-1100
  • Fax:
Mailing address:
  • Phone: 302-633-5840
  • Fax: 302-633-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2001107508
License Number StateDE

VIII. Authorized Official

Name: DR. LAWRENCE M LEWANDOWSKI
Title or Position: OWNER
Credential: M.D.
Phone: 302-698-1100