Healthcare Provider Details

I. General information

NPI: 1134216823
Provider Name (Legal Business Name): JUNE A. LEWANDOWSKI MA, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S MAIN ST
YARDLEY PA
19067-1510
US

IV. Provider business mailing address

520 PHILADELPHIA ST
INDIANA PA
15701-3902
US

V. Phone/Fax

Practice location:
  • Phone: 215-493-1889
  • Fax: 215-493-2164
Mailing address:
  • Phone: 724-463-7478
  • Fax: 724-463-0931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005261L
License Number StatePA

VII. Legacy identifiers

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

# 1
Identifier234433
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHEALTH AMER/HEALTH ASSUR.
# 2
Identifier0655134000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerINDEPENDENCE BLUE CROSS
# 3
Identifier782306
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: