Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 32532 | AZ |
NPI | 1295736932 |
---|---|
Provider Name | Dr. Kaiuwe Lewandrowski |
First Address | Tucson, AZ 85712-1256 |
Second Address | Tucson, AZ 85712-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 21/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
870289 | (05) | AZ |
H88520 | (02) | AZ |
Z116580 | (02) | AZ |