Individual
DR. ANDREW WILLIAM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528
(208) 381-6500
(208) 381-6505
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRO-1661
ID
207Q00000X
Family Medicine Physician
Primary
O-1174
ID
Other
Enumeration date
06/19/2017
Last updated
08/18/2025
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