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1376920553
CREIGHTON LEWIS
BOISE, ID
NPI
1376920553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 11682730-1205)
Enumeration Date
2015-04-27
Last Update Date
2020-06-09
Business Address
Dr. CREIGHTON LEWIS M.D.
500 WEST FORT ST. #111R BOISE VAMC
BOISE, ID 83702
Phone number: 208-220-6546
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Mailing Address
Dr. CREIGHTON LEWIS M.D.
500 WEST FORT ST. #111R BOISE VAMC
BOISE, ID 83702
Phone number: 208-220-6546
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