Lewerenz-Walsh, Audrey A

Lewerenz-Walsh, Audrey A is an individual health care provider with primary practice located at 3007 Manatee Ave W , Bradenton FL 34205-4240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewerenz-Walsh, Audrey A can be contacted via phone (941) 748-8069.

Contact Information

Primary practice address
3007 Manatee Ave W Bradenton FL 34205-4240
Phone: (941) 748-8069
Fax: (941) 748-6609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0004817 Florida

Profile Details

NPI number 1508846866
LBN Legal business name Lewerenz-Walsh, Audrey A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508846866 NPPES
Other 0622723 AETNA
Other 08004770 AETNA
Other 143683 AETNA
Other 1730243841 AETNA
Other 4315059 AETNA
MEDICAID 064822100 AETNA
Other 4285521 AETNA
Other 00307FL AETNA

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