Individual
LUCRETIA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 10TH ST, KLAMATH FALLS, OR 97601-5803
(541) 882-2053
Mailing address
115 N 10TH ST, KLAMATH FALLS, OR 97601-5803
(541) 882-2053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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