Individual provider · Type 1 NPI
Ivy Lewis Lewis, LPN
Licensed Practical Nurse · Chubbuck, ID
NPI number
1972310035
Active
Practice location
4414 Deer Ave
Chubbuck, ID 83202-2668
Mailing address
2293 Jacqueline Ln
Pocatello, ID 83201-1867
Other practice locations
- 1449 Paramount St, Pocatello, ID 83201-3019 · (208) 317-3364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 14873 (ID) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 other providers at this address
Other licensed practical nurse providers in Chubbuck
About NPI 1972310035
Ivy Lewis Lewis, LPN's National Provider Identifier is 1972310035, issued on Dec 12, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chubbuck, ID. The record was last updated on Dec 12, 2024.