Search › Illinois › 111N00000X
Lucas Tanner, DC
NPI 1639407992 · on the registry since 2009 · sole proprietor
Practice
- Address
- 132 Depot St
Gardner, IL 60424 - Phone
- (405) 795-3332
- Organisation at this address
- Dr. Lucas Tanner, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- IL, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-26
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