Doctor Name: | DR. PAUL J LEWANDOWSKI |
NPI Number: | 1013934553 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA16348 |
Business Practice Address: | 75 Nielson St Em Dept Watsonville, CA - 950762468 |
Business Phone Number: | 8317615613 |
Business Fax Number: | 8317615667 |
Mailing Address: | 2100 Powell St Suite 900, EMERYVILLE |
State: | CA |
Postal Code: | 94608 |
Phone Number: | 5103502673 |
Fax Number: | 5108794084 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 02/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA16348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |