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Lewis Clark Endoscopy, Pllc
Endoscopy Clinic/Center in Lewiston, Idaho
NPI 1437148004

Lewis Clark Endoscopy, Pllc is a Endoscopy Clinic/Center based in Lewiston, ID and is specialized in Endoscopy. Lewis Clark Endoscopy, Pllc practices in Lewiston, ID. The NPI Number for Lewis Clark Endoscopy, Pllc is 1437148004 and holds a License No. (Idaho).

The current practice location address for Lewis Clark Endoscopy, Pllc is 1630 23Rd Ave, Lewiston, ID and can be reached out via phone at 208-298-3002 and via fax at 208-743-3369.

Location: 1630 23Rd Ave, Lewiston, ID, 83501-6345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437148004
Provider Name
Lewis Clark Endoscopy, Pllc
Credential
Provider Entity Type
Organization
Address
1630 23Rd Ave, Lewiston, ID, 83501-6345
Phone Number
208-298-3002
Fax Number
208-743-3369
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807105900 05 ID
institution
Provider Business Practice Location Address Details
Address
1630 23Rd Ave
City
Lewiston
State
Idaho
Zip
83501-6345
Phone Number
208-298-3002
Fax Number
208-743-3369
person
Provider Business Mailing Address Details
Address
1630 23Rd Ave
City
Lewiston
State
Idaho
Zip
83501-6345
Phone Number
208-298-3002
Fax Number
208-743-3369
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
261QE0800X
License No.
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Definition
Definition to come...
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