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Lucas Keller

NPI 1588230429 · on the registry since 2021

Practice

Address
3080 E Gentry Way Ste 180
Meridian, ID 83642
Phone
(208) 939-3334
Organisation at this address
Lyon Medical Llc
Blackmer Podiatry
Nova Collective Llc
Lost River Wellness
Bluebird Hospice, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
Pediatric Physical Therapist
2251P0200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-01
Status
Not present in the most recent federal file

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