MEDICARE: LINDSEY KAREN LEWANDOWSKI

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
1	235Z00000X	Speech-Language Pathologist	2202009479	VA

General Provider Information

NPI Number	:	1740688233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY KAREN LEWANDOWSKI

Provider Business Mailing Address
First Line	:	400 BLEVINS RUN
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-4186
Country	:	US
Telephone Number	:	757-635-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 BLEVINS RUN
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-4186
Country	:	US
Telephone Number	:	757-848-4979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	06/04/2026

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