Provider Demographics
NPI:1750758793
Name:LEWANDOWSKI, MICHELLE RENEE (PHARMD, MSHS)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:RENEE
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:PHARMD, MSHS
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:RENEE
Other - Last Name:LOCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:ALASKA NATIVE MEDICAL CENTER
Mailing Address - Street 2:4315 DIPLOMACY DR
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5926
Mailing Address - Country:US
Mailing Address - Phone:907-729-1384
Mailing Address - Fax:907-729-2110
Practice Address - Street 1:ALASKA NATIVE MEDICAL CENTER
Practice Address - Street 2:4315 DIPLOMACY DR
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5926
Practice Address - Country:US
Practice Address - Phone:907-729-1384
Practice Address - Fax:907-729-2110
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPHAP2284183500000X
SD6075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist