Individual
LAWRENCE MICHAEL LEWKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 HARBOURSIDE CENTRE LOOP, STE 101, MIDLOTHIAN, VA 23112-2170
(804) 378-0394
(804) 739-7649
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 673-0134
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101049920
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006004628
—
VA
01
—
110141099
RR MEDICARE
VA
01
—
237401
ANTHEM BCBS VA
VA
01
—
60066
COVENTRY SOUTHERN HEALTH SERVICES
VA
01
—
C01120
MEDICARE GROUP PTAN
VA
Enumeration date
04/06/2006
Last updated
05/21/2021
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