Provider Demographics
NPI:1356675359
Name:LEWINSHTEIN, DANIEL J (BSC, MD CM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:LEWINSHTEIN
Suffix:
Gender:M
Credentials:BSC, MD CM
Other - Prefix:
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Mailing Address - Street 1:1100 OLIVE WAY
Mailing Address - Street 2:M4-PFS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1873
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVENUE
Practice Address - Street 2:C7-URO
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-625-7459
Practice Address - Fax:206-223-7650
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60079934208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8555740Medicaid
WAG8886443Medicare PIN