NPI 1134372386

Nicholas J Lewis, MD

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address: 3101 E State St STE And2107, Eagle, ID 83616-6232
Phone: (208) 473-3500
Fax: (208) 473-3510
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M-11279 (ID)

Other Internal Medicine providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M-11279 (ID)

Other Pediatrics providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1134372386
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2008
Record last updated: 1 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.