Search › Idaho › 363LF0000X
Lucas Donaldson
NPI 1487230983 · on the registry since 2021
Practice
- Address
- 8796 W Tillamook Dr
Boise, ID 83709 - Phone
- (208) 861-5609
- Organisation at this address
- Just For Today Sober Living Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WP1700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho