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General NPI Number Information
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NPI Number | 1063950574
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Entity Type | Individual
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Provider Name | LAUREN LEWANDOWSKI
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1456 LAWSON DR
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City | HOWELL
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State | MI
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Zip | 48843-8016
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Country | US
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Telephone | 517-537-3100
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Fax | 517-537-3101
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Provider Business Mailing Address
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Address Line | 10897 48TH AVE UNIT J11
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City | ALLENDALE
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State | MI
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Zip | 49401-8133
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2601002630
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License Number State | MI
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