Provider Demographics
NPI:1164030912
Name:LEWANDOWSKI, YOLONDA PLESHETTE
Entity Type:Individual
Prefix:
First Name:YOLONDA
Middle Name:PLESHETTE
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 W DIVISION ST STE 122A
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4549
Mailing Address - Country:US
Mailing Address - Phone:320-281-5243
Mailing Address - Fax:320-281-0093
Practice Address - Street 1:3333 W DIVISION ST STE 122A
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4549
Practice Address - Country:US
Practice Address - Phone:320-281-5243
Practice Address - Fax:320-281-0093
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist