Search › Idaho › 164W00000X
Ivy Lewis, LPN
NPI 1972310035 · on the registry since 2024
Practice
- Address
- 4414 Deer Ave
Chubbuck, ID 83202 - Phone
- (208) 317-3364
- Clinicians at this address
- 2
Additional practice sites
- 1449 Paramount St, Pocatello, ID
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho