Healthcare Provider Details

I. General information

NPI: 1245321967
Provider Name (Legal Business Name): CHRISTOPHER LEWANDOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W PERIMETER RD
ANDREWS AFB MD
20762-6602
US

IV. Provider business mailing address

1144 COLUMBUS CIR
ANDREWS AFB MD
20762-5401
US

V. Phone/Fax

Practice location:
  • Phone: 240-857-5972
  • Fax:
Mailing address:
  • Phone: 240-857-5972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD043381E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: