Individual
DR. MICHAEL JOHN LELWICA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3600 LINCOLN WAY, SUITE 4, AMES, IA 50014-7595
(515) 239-4410
(515) 663-4885
Mailing address
1314 42ND ST, DES MOINES, IA 50311-2529
(515) 279-0830
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00870
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33400
BLUE SHIELD OF IOWA
IA
Enumeration date
01/18/2006
Last updated
07/08/2007
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