MRS. Heather Sue Lewis, PA-C

NPI #1639402134 in Cascade, Idaho

Provider Information

NPI Number: 1639402134
Entity Type: Individual
Name: MRS. Heather Sue Lewis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 15, 2009
Last Updated: Feb 22, 2021

Practice Location

Address: 402 LAKE CASCADE PKWY
City: Cascade
State: Idaho
ZIP Code: 83611-7702
Phone: (208) 382-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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