Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lukas T Clark, MD

Individual provider Neurology Physician · NPI 1659519593

Dr. Lukas T Clark, MD is a Neurology in Boise, Idaho. Graduated from Medical College of Wisconsin in 2008, 18 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
18
Trained at
Medical College of Wisconsin
Licensed in
ID
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 303
Boise, ID 83704-2800
Phone: (208) 367-2800
Fax: (208) 367-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence M-12015 (ID)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence M-12015 (ID)

Record details

NPI number1659519593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2009
Last updated in NPPESApril 24, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2008 (18 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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