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Individual

DR. ERIC LEWKOWIEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6699
(706) 721-3593
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
(706) 722-5187

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
053577
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219258
SC
05
304430952A
GA
Enumeration date
08/30/2006
Last updated
05/03/2011
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