Individual
DR. LUCAS AARON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5869285-1205
UT
208600000X
Surgery Physician
M-13257
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073603692
—
ID
05
—
1073603692
—
NC
05
—
NC2396
—
SC
Enumeration date
10/13/2006
Last updated
10/16/2021
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