Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD06604 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD06604 | RI |
NPI | 1245244458 |
---|---|
Provider Name | William Lewander |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 18/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10/02/2009 | NHPRI (01) | RI |
12/29/2008 | TUFTS (01) | RI |
1245244458 | NPI (01) | RI |
3184749 | (05) | MA |
7000126 | (05) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | RI |
C89864 | (02) | RI |