Individual
MR. LLOYD CODY LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
(208) 936-7004
Mailing address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
(208) 936-7004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8019
ID
Other
Enumeration date
07/28/2010
Last updated
01/08/2024
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