Provider Demographics
NPI:1316180458
Name:LEWANDOWSKI, JULIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 GRAND VIEW TRL
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3756
Mailing Address - Country:US
Mailing Address - Phone:716-662-6017
Mailing Address - Fax:
Practice Address - Street 1:646 ELMWOOD AVE
Practice Address - Street 2:101
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1802
Practice Address - Country:US
Practice Address - Phone:716-984-7840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011597-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor