Provider Demographics
NPI:1063611549
Name:LEWARS, MAUREEN ELAINE (RRT)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELAINE
Last Name:LEWARS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:NOT APPLICABLE
Other - Middle Name:NOT APPLICABLE
Other - Last Name:NOT APPLICABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NOT APPLICABLE
Mailing Address - Street 1:17650 SW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5575
Mailing Address - Country:US
Mailing Address - Phone:786-285-2841
Mailing Address - Fax:
Practice Address - Street 1:17650 SW 29TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5575
Practice Address - Country:US
Practice Address - Phone:786-285-2841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT60162279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health