27th Special Ops Medgrp-Cannon
NPI #1285606384 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1285606384
- Entity Type
- Organization
- Organization Name
- 27th Special Ops Medgrp-Cannon
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 27TH SPECIAL OPS MEDGRP-CANNON
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Feb 2, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 208 W CASABLANCA AVE
- Address 2
- 27 MDSS SGSR
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103-5009
- Phone
- (505) 784-4023
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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