Individual
PATRICIA HENRY LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
6875 FM 1488 RD, SUITE 1400, MAGNOLIA, TX 77354-4520
(281) 259-9943
(281) 259-9142
Mailing address
6875 FM 1488 RD, SUITE 1400, MAGNOLIA, TX 77354-4520
(281) 259-9943
(281) 259-9142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
MEDICARE GROUP NUMBER
TX
01
—
094010801
MEDICAID GROUP NUMBER
TX
Enumeration date
10/18/2006
Last updated
02/14/2018
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