Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI # | 1972900546 |
| LBN Legal business name | LEWIS-CLARK STATE COLLEGE |
| Authorized official | CHET HERBST - (VP FOR FINANCE AND ADMINISTRATION) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/26/2014 |
| Last updated | 11/26/2014 - About 12 years ago |
| Identifiers | n/a |
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LEWIS-CLARK STATE COLLEGE
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