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Organization
FE WARREN MEDICAL GROUP
Active
Organization
FE WARREN MEDICAL GROUP
Active
Parent organization
FE WARREN MEDICAL GROUP
Other names
FE Warren AFB
Organization subpart
Yes
Provider details
NPI number
Legal business name
FE WARREN MEDICAL GROUP
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005-2945
(307) 773-4855
(307) 773-3731
Mailing address
6900 ALDEN DR, FE WARREN AFB, WY 82005-2945
(307) 773-5674
(307) 773-6574
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
NULL
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
11/22/2005
Last updated
07/22/2026
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