Individual
AMANDA LUCKOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
388 MARTIN ST, TWIN FALLS, ID 83301-4544
(208) 734-0451
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53351
ID
363LF0000X
Family Nurse Practitioner
Primary
53351
ID
Other
Enumeration date
11/10/2020
Last updated
11/13/2024
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