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CHAD MICHAEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-6500
(208) 799-5554
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-6500
(208) 799-5554

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP 60147797
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-959A
ID

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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