Individual
EDWARD MICHAEL LEWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Mailing address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73-160
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-16667
—
NM
05
—
000Z5691
—
NM
01
—
NM011641
BCBS/HMO NM #
NM
Enumeration date
05/09/2006
Last updated
01/31/2008
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