Healthcare Provider Details

I. General information

NPI: 1215018924
Provider Name (Legal Business Name): KAREN A LEWANDOWSKI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 WASHINGTON ST
ABINGTON MA
02351-2465
US

IV. Provider business mailing address

210 QUINCY AVE
BROCKTON MA
02302-2862
US

V. Phone/Fax

Practice location:
  • Phone: 781-871-3773
  • Fax:
Mailing address:
  • Phone: 508-941-7363
  • Fax: 508-941-6363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number229608
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberRN229608
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN229608
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN/NP 229608
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: