Individual
DR. AUDREY A LEWERENZ-WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3007 MANATEE AVE W, BRADENTON, FL 34205-4240
(941) 748-8069
(941) 748-6609
Mailing address
3007 MANATEE AVE W, BRADENTON, FL 34205-4240
(941) 748-8069
(941) 748-6609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0004817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00307FL
ANTHEM BCBS
FL
01
—
0622723
AETNA
—
05
—
064822100
—
FL
01
—
08004770
RAILROAD MEDICARE
—
01
—
143683
STAYWELL HEALLTHY KIDS PROVIDER
—
01
—
1730243841
TRICARE
—
01
—
4285521
CIGNA
—
01
—
4315059
AETNA HMO
—
Enumeration date
01/20/2006
Last updated
01/14/2025
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