Provider Demographics
NPI:1215018924
Name:LEWANDOWSKI, KAREN A (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2862
Mailing Address - Country:US
Mailing Address - Phone:508-941-7363
Mailing Address - Fax:508-941-6363
Practice Address - Street 1:536 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-2465
Practice Address - Country:US
Practice Address - Phone:781-871-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229608163WR0006X
MARN229608163WX0800X, 363L00000X
MARN/NP 229608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner