Clark, Lukas T

Clark, Lukas T is an individual health care provider with primary practice located at 1072 N Liberty St Suite 303, Boise ID 83704-2800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Clark, Lukas T can be contacted via phone (208) 367-2800.

Contact Information

Primary practice address
1072 N Liberty St Suite 303 Boise ID 83704-2800
Phone: (208) 367-2800
Fax: (208) 367-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M-12015 Idaho
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X M-12015 Idaho

Profile Details

NPI number 1659519593
LBN Legal business name Clark, Lukas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2009
Last updated Apr 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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