375th Medgrp-Scott

NPI #1851373161 in Scott Afb, Illinois

Provider Information

NPI Number
1851373161
Entity Type
Organization
Organization Name
375th Medgrp-Scott
Subpart
Yes (part of a larger organization)
Parent Organization
375TH MEDGRP-SCOTT
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Nov 14, 2005
Last Updated
Jun 17, 2025

Practice Location

Address
310 W LOSEY ST
ZIP Code
62225-5250
Phone
(618) 256-7392

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 Hospital
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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