Provider Demographics
NPI:1184061855
Name:LEWANDOWSKI, MATTHEW (AUD)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:LEWANDOWSKI
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7701
Mailing Address - Country:US
Mailing Address - Phone:207-883-6466
Mailing Address - Fax:207-883-6556
Practice Address - Street 1:23 SPRING ST
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7701
Practice Address - Country:US
Practice Address - Phone:207-883-6466
Practice Address - Fax:207-883-6556
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist