Individual
DR. JEFFREY LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MTC, ATC, SCS
Contact information
Practice address
6920 MCGINNIS FERRY ROAD, SUITE 320, SUWANEE, GA 30024
(770) 495-0610
(770) 495-0806
Mailing address
6920 MCGINNIS FERRY ROAD, SUITE 320, SUWANEE, GA 30024
(770) 495-0610
(770) 495-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687736
BCBS GA
GA
05
—
781811237A
—
GA
Enumeration date
06/03/2006
Last updated
12/03/2009
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