Provider Demographics
NPI:1053388181
Name:LEWERENZ, JULIE E (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:LEWERENZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 W MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-5831
Mailing Address - Country:US
Mailing Address - Phone:703-723-6216
Mailing Address - Fax:720-204-7837
Practice Address - Street 1:170 W MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-5831
Practice Address - Country:US
Practice Address - Phone:703-723-6216
Practice Address - Fax:720-204-7837
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012504852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry