Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUCAS TANNER, LLC
Active OrganizationDR. LUCAS TANNER, LLC is a Clinic/Center organization located in GARDNER, Illinois. NPI 1194448480 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · GARDNER, IL
Registration Details
- NPI Number
- 1194448480
- Provider Type
- Organization
- NPI Issued
- Sep 21, 2022 (3.9143275635614 yrs)
- Last Updated
- Oct 26, 2022
Practice Information
- Address
-
132 DEPOT STGARDNER, IL, 604249401Browse IL providers · Browse ZIP 60424
- Phone
- 4057953332
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.