Individual
BRANDON M LEWKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 PROSPERITY LN STE 500, STAFFORD, VA 22556-4605
(540) 658-2811
(681) 342-3625
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD470646
PA
207Q00000X
Family Medicine Physician
Primary
0101272463
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2017
Last updated
09/06/2022
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