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Organization
LEWIS CLARK STATE COLLEGE
Active
Organization
LEWIS CLARK STATE COLLEGE
Active
Other names
LCSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENE KAY THOMAS PHD (PRESIDENT)
(208) 792-2216
Entity
Organization
Contact information
Practice address
500 8TH AVE, SGC #42, LEWISTON, ID 83501-2691
(208) 792-2251
(208) 792-2882
Mailing address
500 8TH AVE, ADM 207, LEWISTON, ID 83501-2691
(208) 792-2216
(208) 792-2822
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
M6537
ID
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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