Organization
LEWIS & CLARK ORTHOPAEDIC INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY ORR (COO)
(615) 314-1406
Entity
Organization
Contact information
Practice address
318 WARNER DR, LEWISTON, ID 83501-4441
(208) 298-1050
(208) 298-1060
Mailing address
318 WARNER DR, LEWISTON, ID 83501-4441
(208) 298-1050
(208) 298-1060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146573
RBS
ID
01
—
0198920
WLI
ID
01
—
04606
IBC
ID
01
—
3570555
TRICARE
ID
01
—
611193000
OWCP
ID
01
—
7124381
WWL
ID
05
—
806919700
—
ID
Enumeration date
09/13/2005
Last updated
05/06/2026
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