Provider Demographics
NPI:1508190703
Name:LEWANDOWSKI, DANIELLE KRISTINE (DT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:KRISTINE
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BUCKINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8418
Mailing Address - Country:US
Mailing Address - Phone:630-802-2675
Mailing Address - Fax:
Practice Address - Street 1:112 BUCKINGHAM CT
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8418
Practice Address - Country:US
Practice Address - Phone:630-802-2675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist