Individual
DR. RAYMOND C LEWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
816 E MAIN ST, WILLOW SPRINGS, MO 65793-1518
(999) 999-9999
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
114869
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114990
BLUE CROSS MO
—
05
—
203835103
—
MO
Enumeration date
08/14/2006
Last updated
11/12/2012
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