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Contact Information

LUCAS P DONALDSON
8796 W TILLAMOOK DR
BOISE, ID83709-5876
 Phone: 208-861-5609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Perinatal

163WP1700X
Indicates primary specialty

NPI Profile & details for LUCAS P DONALDSON · (Male)

NPI # 1487230983
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2021
Last updated 04/30/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # 56025
Hospital affiliation(s) Not Available
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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