Keller, Lucas

Keller, Lucas is an individual health care provider with primary practice located at 3080 E Gentry Way Ste 180 , Meridian ID 83642-3014. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Keller, Lucas can be contacted via phone (208) 939-3334.

Contact Information

Primary practice address
3080 E Gentry Way Ste 180 Meridian ID 83642-3014
Phone: (208) 939-3334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT-7368 Idaho

Profile Details

NPI number 1588230429
LBN Legal business name Keller, Lucas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2021
Last updated Jun 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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