Provider Demographics
NPI:1962652404
Name:LEWICKI, CINDY ANN (LPN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:LEWICKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-3155
Mailing Address - Country:US
Mailing Address - Phone:561-273-3440
Mailing Address - Fax:
Practice Address - Street 1:719 W PINE ST
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-3155
Practice Address - Country:US
Practice Address - Phone:561-273-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-21
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703097572164W00000X
FLPN5174268164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse