Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCAS JOHN KOENEN, DO
Active Sole ProprietorLUCAS JOHN KOENEN, DO is a Student (Health Education/Training) healthcare provider located in IDAHO FALLS, Idaho. NPI 1689475949 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1689475949
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2025 (1.3649422580966 yrs)
- Last Updated
- Mar 22, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3100 CHANNING WAYIDAHO FALLS, ID, 834047533Browse ID providers · Browse ZIP 83404
- Phone
- 2085296111
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MR. BRETT BUCKLEY MAXFIELD | RN | 1457563843 |
| ISABELLE SCHILBACH | — | 1902352537 |
| PRAVEEN ANURADHA WALALIYADDA | MD | 1710515135 |
| DR. TREVI ANN MANCILLA | MD, PHD | 1760069066 |
| WILLARD TAYLOR WILLIAMS | — | 1689323313 |
| JONATHAN SIDLOW | MD | 1477203297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.