| Street | Generala Antoniego Gielguda 4 | ||
| City/Town | Gdansk | ||
| State/Province/Region | Gdansk | ||
| Zip/Postal Code | 80-203 | ||
| Phone Number | 58 524 00 95 | ||
| Country | Poland |
| Full Name | dr Jeremi Lewandowski | ||
| Gender | male | ||
| Birthday | 1974-06-27 | ||
| Social Security Number | 09293048036 |
| Credit card brand | Voyager | ||
| Credit card number | 8699850108994671 | ||
| Expire | 2029/8 | ||
| CVV | 384 |