Lewis Clark Endoscopy, Pllc

NPI #1437148004 in Lewiston, Idaho

Provider Information

NPI Number: 1437148004
Entity Type: Organization
Organization Name: Lewis Clark Endoscopy, Pllc
Primary Specialty: Clinic/Center - Endoscopy
Enumeration Date: Oct 17, 2005
Last Updated: Mar 22, 2012

Practice Location

Address: 1630 23RD AVE
Address 2: SUITE 801
City: Lewiston
State: Idaho
ZIP Code: 83501-6345
Phone: (208) 298-3002

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Endoscopy — Endoscopy	261QE0800X	Primary

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