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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