Provider Demographics
NPI:1568886927
Name:LITWIN, AILEEN JOANNA GUERRERO (DO)
Entity Type:Individual
Prefix:DR
First Name:AILEEN JOANNA
Middle Name:GUERRERO
Last Name:LITWIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2934
Mailing Address - Country:US
Mailing Address - Phone:423-521-2303
Mailing Address - Fax:
Practice Address - Street 1:6209 LEE HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2934
Practice Address - Country:US
Practice Address - Phone:423-521-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4340208000000X
VA0102204236208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics