Provider Demographics
NPI:1790887594
Name:ZALEWSKI, LEE XIONG (DC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:XIONG
Last Name:ZALEWSKI
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 1:715 LAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-5400
Mailing Address - Country:US
Mailing Address - Phone:203-573-0011
Mailing Address - Fax:203-597-1809
Practice Address - Street 1:715 LAKEWOOD RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-5400
Practice Address - Country:US
Practice Address - Phone:203-573-0011
Practice Address - Fax:203-597-1809
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V07285Medicare UPIN
350001431Medicare ID - Type Unspecified