NPI | 1134471527 |
---|---|
Doing Business As | LEWIS & CLARK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DOUG DOORN CEO 605-665-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2012-10-09 |
Last Update Date | 2015-04-23 |