# DR. JAY M LONSWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770593741
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 5101013608 | MI | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4506114 | — | MI |
| 05 | — | 4506153 | — | MI |
| 05 | — | 4506171 | — | MI |