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Individual

MRS. AUDREY ROSE GUILLERMO LEWKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
(253) 922-5299
Mailing address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
(253) 922-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55086
CA
363AM0700X
Medical Physician Assistant
Primary
55086
CA
363AM0700X
Medical Physician Assistant
5571659
ID
363AM0700X
Medical Physician Assistant
PA.PA.61582318
WA

Other

Enumeration date
11/03/2017
Last updated
02/24/2026
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