90th Medgrp-Fe Warren

NPI #1609859826 in Fe Warren Afb, Wyoming

Provider Information

NPI Number
1609859826
Entity Type
Organization
Organization Name
90th Medgrp-Fe Warren
Subpart
Yes (part of a larger organization)
Parent Organization
90TH MEDGRP-FE WARREN
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Nov 22, 2005
Last Updated
Jun 17, 2025

Practice Location

Address
6900 ALDEN DR BLDG 160
State
Wyoming
ZIP Code
82005-2945
Phone
(307) 773-4855

Authorized Official

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

Specialties & Taxonomy Codes

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

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