Search › Illinois › 2255A2300X
Lukas Manieri, ATC, OTC
NPI 1164939179 · on the registry since 2017
Practice
- Address
- 1111 Trinity Ln Ste 111
Bloomington, IL 61704 - Phone
- (309) 663-6461
- Fax
- (309) 663-5711
- Organisation at this address
- Carle West Physician Group Inc
Twin Cities Medical Equipment Llc
Bloomington Medical Distribution LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 246ZX2200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-29
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 Illinois