Lucas Paul Donaldson
Lucas Paul Donaldson is a Nurse Practitioner in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Shoshone-Paiute Tribes, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 3
- Licensed in
- ID
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
8796 W Tillamook DrBoise, ID 83709-5876
Phone: (208) 861-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 56025 (ID) |
|---|---|
| Perinatal Registered Nurse | Taxonomy 163WP1700X · Licence 56025 (ID) |
Record details
| NPI number | 1487230983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | April 30, 2025 |
| Certification date | April 30, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Shoshone-Paiute Tribes — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |