Ivy Lewis Lewis, LPN

NPI #1972310035 in Chubbuck, Idaho

Provider Information

NPI Number
1972310035
Entity Type
Individual
Name
Ivy Lewis Lewis, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Dec 12, 2024
Last Updated
Dec 12, 2024

Practice Location

Address
4414 DEER AVE
State
Idaho
ZIP Code
83202-2668
Phone
(208) 317-3364

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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