LUCAS JOHN KOENEN

IDAHO FALLS, ID
NPI1689475949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-22
Last Update Date2025-03-22
Business Address
LUCAS JOHN KOENEN DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Mailing Address
LUCAS JOHN KOENEN DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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