Individual
ROBERT TAYLOR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
5354 E SAGEWOOD DR, IDAHO FALLS, ID 83406-8279
(208) 716-1066
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-532
ID
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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