Provider Demographics
NPI:1669286969
Name:LEWERK, MARGARET ANN (PA)
Entity type:Individual
Prefix:
First Name:MARGARET ANN
Middle Name:
Last Name:LEWERK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 KENDALL RD
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:CT
Mailing Address - Zip Code:06351-7443
Mailing Address - Country:US
Mailing Address - Phone:860-822-3769
Mailing Address - Fax:
Practice Address - Street 1:174 KENDALL RD
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:CT
Practice Address - Zip Code:06351-7443
Practice Address - Country:US
Practice Address - Phone:860-822-3769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA101215363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant