Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JACOB LUCAS, DO
ActiveTYLER JACOB LUCAS, DO is a Sports Medicine healthcare provider located in AVON, Indiana. NPI 1295232643 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · AVON, IN
Registration Details
- NPI Number
- 1295232643
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2018 (8.2989470346099 yrs)
- Last Updated
- Aug 19, 2022
- Licenses
-
11019906A (IN)02006385A (IN)
Practice Information
- Address
-
301 SATORI PKWY STE 120AVON, IN, 461236407Browse IN providers · Browse ZIP 46123
- Phone
- 3177184263
- Fax
- 3172727855
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in AVON, IN
| Name | Credential | NPI |
|---|---|---|
| MARK A. BOOHER | M.D. | 1447245527 |
| DR. STEPHEN J HARTSOCK | MD | 1114938453 |
| DR. ZACHARY CONNER RITCHIE | M.D. | 1992118822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.