Individual
GRANT LEWANDROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4299
(401) 788-1590
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4299
(401) 788-1590
(401) 788-1593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD19380
RI
207Q00000X
Family Medicine Physician
MD19380
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2020
Last updated
07/29/2025
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