John David Lewis

NPI #1518029180 in Rexburg, Idaho

Provider Information

NPI Number: 1518029180
Entity Type: Individual
Name: John David Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 896 WIDDISON LN
City: Rexburg
State: Idaho
ZIP Code: 83440-5061
Phone: (208) 356-8726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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