Anderson, Lucas Aaron

Anderson, Lucas Aaron is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Anderson, Lucas Aaron can be contacted via phone (208) 625-4000.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814
Phone: (208) 625-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-13257 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5869285-1205 Utah

Profile Details

NPI number 1073603692
LBN Legal business name Anderson, Lucas Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 16th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073603692 NPPES
North Carolina MEDICAID 1073603692
North Carolina MEDICAID NC2396
North Carolina MEDICAID 1073603692

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