| NPI | 1215095252 |
|---|---|
| Former Legal Business Name | LEWISTON ORTHOPAEDIC ASSOCIATES PA |
| Entity Type | Organization |
| Authorized Contact | CINDY L KEENE CEO 208-298-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: ID BL04-213478) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-01-24 |