LEWISTON ORTHOPAEDIC ASSOCIATES PA

Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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Contact Information

LEWISTON ORTHOPAEDIC ASSOCIATES PA

320 WARNER DR
LEWISTON, ID 83501-4441

Phone: 208-743-3523
Fax: 208-746-8741
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Neuromusculoskeletal Medicine, Sports Medicine	204C00000X	12	Physician/Osteopathic Manipulative Medicine
Medical Specialty	261QM2500X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for LEWISTON ORTHOPAEDIC ASSOCIATES PA

NPI # 1215095252

LBN Legal business name LEWISTON ORTHOPAEDIC ASSOCIATES PA

Authorized official CINDY KEENE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/04/2006

Last updated 01/24/2017 - About 9 years ago

Identifiers

ID	License #	BL04-213478
ID	Medicaid	002397200
WA	Medicaid	7849003
ID	Other	89409	BCI
ID	Other	000010026897	REGENCE BLUESHIELD IDAHO

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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