1669630679 NPI number — MS. ASHLEIGH ELIZABETH LEWKOWITZ AUD

Table of content: MS. ASHLEIGH ELIZABETH LEWKOWITZ AUD (NPI 1669630679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669630679 NPI number — MS. ASHLEIGH ELIZABETH LEWKOWITZ AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEWKOWITZ
Provider First Name:
ASHLEIGH
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARLEY
Provider Other First Name:
ASHLEIGH
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
AUD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669630679
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 S DOBSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85224-6274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-558-5306
Provider Business Mailing Address Fax Number:
480-558-5307

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 S DOBSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-6274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-558-5306
Provider Business Practice Location Address Fax Number:
480-558-5307
Provider Enumeration Date:
05/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  DA5050 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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