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John David Lewis
Specialist in Rexburg, Idaho
NPI 1518029180

John David Lewis is a Specialist based in Rexburg, ID. John David Lewis practices in Rexburg, ID. The NPI Number for John David Lewis is 1518029180 and holds a License No. (Idaho).

The current practice location address for John David Lewis is 896 Widdison Ln, Rexburg, ID and can be reached out via phone at 208-356-8726. You can also correspond with John David Lewis through the mailing address at 896 WIDDISON LN, REXBURG, ID - 83440-5061 (mailing address contact number: 208-356-8726).

Location: 896 Widdison Ln, Rexburg, ID, 83440-5061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518029180
Provider Name
John David Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
896 Widdison Ln, Rexburg, ID, 83440-5061
Phone Number
208-356-8726
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
896 Widdison Ln
City
Rexburg
State
Idaho
Zip
83440-5061
Phone Number
208-356-8726
Fax Number
person
Provider Business Mailing Address Details
Address
896 Widdison Ln
City
Rexburg
State
Idaho
Zip
83440-5061
Phone Number
208-356-8726
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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