Individual
MRS. CHRISTINA MARIE LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P010432
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140070 SD
—
SD
05
—
5549050 SD
—
SD
Enumeration date
10/31/2011
Last updated
10/31/2011
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