IndividualActive
Creighton Lewis, M.D.
NPI 1376920553 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1376920553
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11682730-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 West Fort St. #111r
Boise Vamc
Boise, ID 83702
Phone: (208) 220-6546
Approximate (ZIP-level) locationGet directions
Mailing address
500 West Fort St. #111r
Boise, ID 83702
Registry dates
- Enumerated
- 2015-04-27
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.