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Individual

SUSAN JEAN LEWANTOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
494 APPLETON ST, HOLYOKE, MA 01040-3211
(413) 420-2302
(413) 534-9044
Mailing address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 733-6624
(413) 733-6457

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117133
MA

Other

Enumeration date
09/12/2011
Last updated
09/13/2011
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