Provider Demographics
NPI:1245210822
Name:LEWANDOWSKI, JAMES E (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:LEWANDOWSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-6542
Mailing Address - Country:US
Mailing Address - Phone:308-381-7262
Mailing Address - Fax:308-381-4672
Practice Address - Street 1:820 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-6542
Practice Address - Country:US
Practice Address - Phone:308-381-7262
Practice Address - Fax:308-381-4672
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE230213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE02532OtherBCBS
NEU31640Medicare UPIN
NE261319Medicare PIN
NE02532OtherBCBS