| Doctor Name: | MR. FREDERICK GEORGE LEWANDO |
| NPI Number: | 1295932952 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | L3300 |
| Business Practice Address: | 1934 1st St Baker City, OR - 978143309 |
| Business Phone Number: | 5415195883 |
| Business Fax Number: | |
| Mailing Address: | 14386 Ben Dier Ln, BAKER CITY |
| State: | OR |
| Postal Code: | 978148210 |
| Phone Number: | 5415230820 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L3300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |