Smith, Lucas

Smith, Lucas is an sole proprietor health care provider with primary practice located at 861 Lakeside Dr , Blackfoot ID 83221-1674. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Smith, Lucas can be contacted via phone (208) 360-7355.

Contact Information

Primary practice address
861 Lakeside Dr Blackfoot ID 83221-1674
Phone: (208) 360-7355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1083480404
LBN Legal business name Smith, Lucas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2023
Last updated Nov 27th, 2023 - about 3 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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