Lewis Clark State College

NPI #1649366477 in Lewiston, Idaho

Provider Information

NPI Number
1649366477
Entity Type
Organization
Organization Name
Lewis Clark State College
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Oct 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
500 8TH AVE
Address 2
SGC #42
State
Idaho
ZIP Code
83501-2691
Phone
(208) 792-2251

Authorized Official

Name
DR. DENE KAY THOMAS, PHD
Title
PRESIDENT
Phone
(208) 792-2216

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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