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NPI 1386572584

NPI 1386572584 : LUCIA LAY : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1386572584
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    Entity Type          |    Individual 
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    Provider Name        |    LUCIA LAY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/11/2026
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    Last Update Date     |    05/11/2026
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Provider Practice Location Address
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    Address Line         |    9490 W FAIRVIEW AVE 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83704-8101
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    Country              |    US
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    Telephone            |    208-486-0556
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2020 S LUXURY LN APT E201 
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    City                 |    MERIDIAN
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    State                |    ID
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    Zip                  |    83642-4402
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    Country              |    US
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    Telephone            |    540-252-8113
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    ID
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