CORY LAMAR LEWIS

BOISE, ID
NPI1093224289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  56935)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
CORY LAMAR LEWIS
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-6416
Mailing Address
CORY LAMAR LEWIS
23252 EL PASO RD
CALDWELL, ID 83607-7776
Phone number: 208-850-8029
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