Provider Demographics
NPI:1790996858
Name:KAI-UWE LEWANDROWSKI, MD
Entity Type:Organization
Organization Name:KAI-UWE LEWANDROWSKI, MD
Other - Org Name:CENTER FOR ADVANCED SPINAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAI UWE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWANDROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-269-6790
Mailing Address - Street 1:PO BOX 64217
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-4217
Mailing Address - Country:US
Mailing Address - Phone:520-269-6790
Mailing Address - Fax:
Practice Address - Street 1:1702 W ANKLAM RD
Practice Address - Street 2:SUITE 112
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2606
Practice Address - Country:US
Practice Address - Phone:520-269-6790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32532207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH88520AZMedicare UPIN
AZZ116580Medicare PIN