John David Lewis

Practice location

Address

896 Widdison Ln, Rexburg, ID 83440-5061

Phone

(208) 356-8726

Registered specialties

Registry record

NPI

1518029180

Entity type

Individual

Sex (as registered)

Male

NPI issued

13 Dec 2006

Record last updated

9 Jul 2007

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.