Individual
ALYSSA SUZANNE LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
(618) 392-3228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036154154
IL
207Q00000X
Family Medicine Physician
Primary
5101021829
MI
Other
Enumeration date
06/05/2015
Last updated
03/23/2020
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