Lewis Clark Gastroenterology Pllc

NPI #1356330922 in Lewiston, Idaho

Provider Information

NPI Number
1356330922
Entity Type
Organization
Organization Name
Lewis Clark Gastroenterology Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Oct 17, 2005
Last Updated
Oct 12, 2012

Practice Location

Address
1630 23RD AVE
Address 2
SUITE 701
State
Idaho
ZIP Code
83501-6350
Phone
(208) 298-3002

Authorized Official

Name
TAMARA LYNN SMITH, RN
Title
CLINICAL DIRECTOR
Phone
(208) 298-3002

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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