NPI 1376920553 · live from the CMS NPI Registry
Creighton Lewis, M.D.
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1376920553, active.
NPI record
| NPI | 1376920553 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 |
| Practice phone | 208-220-6546 |
| Enumerated | April 27, 2015 |
| Last updated | June 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 11682730-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.