59th Mdw-Whasc-Lackland

NPI #1275511776 in Lackland a F B, Texas

Provider Information

NPI Number
1275511776
Entity Type
Organization
Organization Name
59th Mdw-Whasc-Lackland
Subpart
Yes (part of a larger organization)
Parent Organization
59TH MDW-WHASC-LACKLAND
Primary Specialty
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure
Enumeration Date
Jan 4, 2006
Last Updated
Jun 17, 2025

Practice Location

Address
2200 BERGQUIST DR
Address 2
SUITE 1 ADBS
State
Texas
ZIP Code
78236-9907
Phone
(210) 292-7575

Authorized Official

Name
JEN LEWANDOWSKI
Title
DHA UBO
Phone
(703) 817-4030

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient
Military/U.S. Coast Guard Pharmacy
Clinic/Center - Military and U.S. Coast Guard Ambulatory ProcedureMilitary and U.S. Coast Guard Ambulatory Procedure

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