NPI Profile for LUCAS P DONALDSON in BOISE, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Perinatal |
163WP1700X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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LUCAS P DONALDSON
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