Provider Demographics
NPI:1295736932
Name:LEWANDROWSKI, KAIUWE (MD)
Entity type:Individual
Prefix:DR
First Name:KAIUWE
Middle Name:
Last Name:LEWANDROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KAI UWE
Other - Middle Name:
Other - Last Name:LEWANDROWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4787 E CAMP LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1256
Mailing Address - Country:US
Mailing Address - Phone:520-204-1495
Mailing Address - Fax:623-218-1215
Practice Address - Street 1:4787 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1256
Practice Address - Country:US
Practice Address - Phone:520-204-1495
Practice Address - Fax:623-218-1215
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32532207XS0117X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ870289Medicaid
AZ81212Medicare ID - Type Unspecified
AZ870289Medicaid
AZZ116580Medicare UPIN