| Lcsc | |
|
500 8th Ave Sgc #42 Lewiston ID 83501-2691 | |
| (208) 792-2251 | |
| (208) 792-2882 |
| Full Name | Lcsc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 500 8th Ave, Lewiston, Idaho |
| Authorized Official Name and Position | Dene Kay Thomas (PRESIDENT) |
| Authorized Official Contact | 2087922216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcsc 500 8th Ave Adm 207 Lewiston ID 83501-2691 Ph: (208) 792-2216 | Lcsc 500 8th Ave Sgc #42 Lewiston ID 83501-2691 Ph: (208) 792-2251 |
| NPI Number | 1649366477 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649366477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | M6537 (Idaho) | Primary |
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