Mr. NICHOLAS J LEWIS MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1134372386- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3101 E STATE ST STE AND2107, EAGLE, ID, 836166232
- Phone
- (208) 473-3500
- Fax
- (208) 473-3510
Specialties & Taxonomies
Pediatrics
License: ID #M-11279
Student in an Organized Health Care Education/Training Program
Internal Medicine
Primary License: ID #M-11279
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241