Provider Demographics
NPI:1184676678
Name:LEFKOWITZ, STEVEN (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 LYNNFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1423
Mailing Address - Country:US
Mailing Address - Phone:781-586-9300
Mailing Address - Fax:781-596-8430
Practice Address - Street 1:496 LYNNFIELD ST
Practice Address - Street 2:SUITE 104
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1423
Practice Address - Country:US
Practice Address - Phone:781-586-9300
Practice Address - Fax:781-596-8430
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80275207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0189316Medicaid
MA036361OtherTUFTS
MAD14255OtherBC/BS OF MA
MA0016741OtherNEIGHBORHOOD HLTH PLAN
MA300303OtherHARVARD PILGRIM
MA989687OtherNETWORK HEALTH
MAA54152Medicare UPIN
MAD14255OtherBC/BS OF MA