Provider Demographics
NPI:1134414147
Name:LEWENSTEIN, LEON (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:
Last Name:LEWENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 N OCEAN BLVD
Mailing Address - Street 2:707
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-368-2060
Mailing Address - Fax:
Practice Address - Street 1:4301 N OCEAN BLVD
Practice Address - Street 2:707
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5364
Practice Address - Country:US
Practice Address - Phone:561-368-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 90991207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology