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Lewiston Orthopaedic Associates Pa
Medical Specialty Clinic/Center in Lewiston, Idaho
NPI 1215095252

Lewiston Orthopaedic Associates Pa is a Medical Specialty Clinic/Center based in Lewiston, ID and is specialized in Medical Specialty. Lewiston Orthopaedic Associates Pa practices in Lewiston, ID. The NPI Number for Lewiston Orthopaedic Associates Pa is 1215095252 and holds a License No. (Idaho).

The current practice location address for Lewiston Orthopaedic Associates Pa is 320 Warner Dr, Lewiston, ID and can be reached out via phone at 208-743-3523 and via fax at 208-746-8741.

Location: 320 Warner Dr, Lewiston, ID, 83501-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215095252
Provider Name
Lewiston Orthopaedic Associates Pa
Credential
Provider Entity Type
Organization
Address
320 Warner Dr, Lewiston, ID, 83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
Provider Enumeration Date
12/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7849003 05 WA
89409 01 ID BCI
002397200 05 ID
000010026897 01 ID REGENCE BLUESHIELD IDAHO
institution
Provider Business Practice Location Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider Business Mailing Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
BL04-213478 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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