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1164952420
ANDREW WILLIAM LEWIS
POCATELLO, ID
NPI
1164952420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO-1661)
Enumeration Date
2017-06-19
Last Update Date
2020-07-28
Business Address
Dr. ANDREW WILLIAM LEWIS DO
880 W QUINN RD
POCATELLO, ID 83202-2454
Phone number: 208-232-7862
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Mailing Address
Dr. ANDREW WILLIAM LEWIS DO
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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