Healthcare Provider Details

I. General information

NPI: 1063611549
Provider Name (Legal Business Name): MAUREEN ELAINE LEWARS RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17650 SW 29TH CT
MIRAMAR FL
33029-5575
US

IV. Provider business mailing address

17650 SW 29TH CT
MIRAMAR FL
33029-5575
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-2841
  • Fax:
Mailing address:
  • Phone: 786-285-2841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License NumberRT6016
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: