Individual
KARLA KAY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
479 POLK ST, TWIN FALLS, ID 83301-4850
(208) 733-2661
Mailing address
1579C CLEAR LAKES RD, BUHL, ID 83316-5889
(208) 536-2309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1361
ID
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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