Provider Demographics
NPI:1316547185
Name:ORZECHOWSKI, JUSTYNA
Entity type:Individual
Prefix:
First Name:JUSTYNA
Middle Name:
Last Name:ORZECHOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 DANDELION CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-6002
Mailing Address - Country:US
Mailing Address - Phone:803-404-2123
Mailing Address - Fax:
Practice Address - Street 1:112 DANDELION CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-6002
Practice Address - Country:US
Practice Address - Phone:803-404-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath