John David Lewis
John David Lewis is a Specialist in Rexburg, Idaho. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
896 Widdison LnRexburg, ID 83440-5061
Phone: (208) 356-8726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1518029180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 896 Widdison Ln, Rexburg, ID 83440-5061 |
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