Organization
LEWIS CLARK GASTROENTEROLOGY PLLC
Active
Organization
LEWIS CLARK GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LYNN SMITH RN (CLINICAL DIRECTOR)
(208) 298-3002
Entity
Organization
Contact information
Practice address
1630 23RD AVE, SUITE 701, LEWISTON, ID 83501-6350
(208) 298-3002
(208) 298-7433
Mailing address
1630 23RD AVE, SUITE 701, LEWISTON, ID 83501-6350
(208) 298-3002
(208) 298-7433
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806979100
—
ID
Enumeration date
10/17/2005
Last updated
10/12/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up