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Individual

MR. MARK THOMAS LEWANDOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
2661 E US HIGHWAY 30, T-0870, MERRILLVILLE, IN 46410-5898
(219) 942-1267
Mailing address
2661 E US HIGHWAY 30, T-0870, MERRILLVILLE, IN 46410-5898
(219) 942-1267

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014341A
IN

Other

Enumeration date
06/14/2011
Last updated
06/14/2011
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