SearchIllinois390200000X

Lukas Brase

NPI 1396542346 · on the registry since 2025 · sole proprietor

Practice

Address
1089 Tampico Dr
Edwardsville, IL 62025
Phone
(618) 971-1758

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Male
Record last updated
2025-02-27

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