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NPI Code Detail

MEDICARE: MRS. MARGARET ANN LEWANDOWSKI FNP

MEDICARE:  MRS. MARGARET ANN LEWANDOWSKI  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerIL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CJ5053OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21891810677OTHERGROUP NPI

General Provider Information

NPI Number : 1417095225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET ANN LEWANDOWSKI FNP
Provider Business Mailing Address
First Line : 948 RUTHENBECK LN
Second Line :
City : NEW LENOX
State : IL
Zip : 60451-2584
Country : US
Telephone Number : 815-463-8702
Fax Number :
Provider Business Practice Location Address
First Line : 1640 WILLOW CIRCLE DR
Second Line :
City : CREST HILL
State : IL
Zip : 60435-0959
Country : US
Telephone Number : 815-740-2525
Fax Number : 815-740-2522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 04/10/2008

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