Individual
SHANDY LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 W CENTER ST STE L208, POCATELLO, ID 83204-4205
(208) 829-3160
(208) 242-2302
Mailing address
845 W CENTER ST STE L208, POCATELLO, ID 83204-4205
(208) 829-3160
(208) 242-2302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/10/2025
Last updated
12/17/2025
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