NPI 1326121286

Glenn E Jefferson, MD

Practitioner Family Medicine Physician Lewiston, ID

Practice location

Address: 1720 18th Ave, Lewiston, ID 83501-4047
Phone: (208) 746-4097
Fax: (208) 746-2294

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M4593 (ID)

Other Family Medicine providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD00025241 (WA)

Registry record

NPI: 1326121286
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 2 Jun 2026

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.