Dr David Jon Lewandowski, DC | |
4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | |
(602) 279-5262 | |
Not Available |
Full Name | Dr David Jon Lewandowski |
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Gender | Male |
Speciality | Chiropractor |
Location | 4041 N Central Ave Bldg C, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861961690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9247 (Arizona) | Primary |
Provider Name | Canyonlands Community Health Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609966860 PECOS PAC ID: 4082509591 Enrollment ID: O20040219000713 |
Mailing Address | Practice Location Address |
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Dr David Jon Lewandowski, DC Po Box 531, Page, AZ 86040-0531 Ph: (989) 351-9349 | Dr David Jon Lewandowski, DC 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 Ph: (602) 279-5262 |
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