National Provider Identifier Database

LUKAS T CLARK, MD – NPI #1659519593
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

LUKAS T CLARK, MD
1072 N LIBERTY ST
SUITE 303
BOISE, ID83704-2800
Phone: 208-367-2800
Fax: 208-367-7111
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for LUKAS T CLARK

NPI Number 1659519593
Credentials MD
Entity Individual
Enumeration date 01/30/2009
Last updated 04/24/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • ID License #: M-12015
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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