Individual
GREGORY LEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10255 W OVERLAND RD, BOISE, ID 83709-1430
(208) 367-7205
(208) 367-7204
Mailing address
10255 W OVERLAND RD, BOISE, ID 83709-1430
(208) 367-7205
(208) 367-7204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5712
ID
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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