Organization · Type 2 NPI
Lewis Clark Kidney Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lewiston, ID
NPI number
1437573995
Active
Practice location
222 Southway Ave Ste A
Lewiston, ID 83501-2703
Fax (208) 743-1318
Mailing address
1835 G St
Lewiston, ID 83501-2034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Lewiston
About NPI 1437573995
Lewis Clark Kidney Center LLC's National Provider Identifier is 1437573995, issued on Feb 4, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lewiston, ID. The record was last updated on Feb 4, 2014.