Individual
MRS. LESLIE ARLENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9850 ST LUKES DR STE 215, NAMPA, ID 83687-7912
(208) 489-1983
(208) 489-4300
Mailing address
9850 ST LUKES DR STE 215, NAMPA, ID 83687-7912
(208) 489-1983
(208) 489-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
09/19/2018
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