Provider Demographics
NPI:1952442295
Name:LEWANDOWSKI, WENDY CARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:CARMEN
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:CARMEN
Other - Last Name:WILKONSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:845 FARMINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053
Mailing Address - Country:US
Mailing Address - Phone:860-348-0899
Mailing Address - Fax:860-225-7766
Practice Address - Street 1:845 FARMINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053
Practice Address - Country:US
Practice Address - Phone:860-348-0899
Practice Address - Fax:860-225-7766
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0341222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1341221Medicaid
CT1341221Medicaid