Provider Demographics
NPI:1821445347
Name:LEWANDOWSKI, JESSICA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARIE
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:MARIE
Other - Last Name:HEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:191 LIGHTHOUSE AVE
Mailing Address - Street 2:1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1487
Mailing Address - Country:US
Mailing Address - Phone:626-524-7726
Mailing Address - Fax:
Practice Address - Street 1:2930 2ND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6244
Practice Address - Country:US
Practice Address - Phone:831-582-2100
Practice Address - Fax:831-886-1529
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135450183500000X
CA75193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist