Individual
STEPHEN M LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, C/O EMMC, BANGOR, ME 04401-6616
(207) 973-4519
(207) 992-4132
Mailing address
PO BOX 404, EMMC, BANGOR, ME 04402-0404
(207) 973-4519
(207) 992-4132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
020783
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201020
COASTAL EYE SURGERY CENTER
—
Enumeration date
09/21/2006
Last updated
03/19/2010
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