Dr Lucas Aaron Tanner, DC is a
Chiropractor based in Gardner, Illinois. Dr Lucas Aaron Tanner is licensed to practice in Illinois (license number 038013364) and his current practice location is
132 Depot St, Gardner, Illinois. He can be reached at his office (for appointments etc.) via phone at
(405) 795-3332.
NPI number for Dr Lucas Aaron Tanner is 1639407992 and his current mailing address is 21461 W Elmwood Ave, Wilmington, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639407992.
Healthcare Provider's Profile
| Full Name | Dr Lucas Aaron Tanner |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
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| Location | 132 Depot St, Gardner, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639407992
- Provider Enumeration Date: 11/25/2009
- Last Update Date: 10/26/2022
Medical Identifiers
Medical identifiers for Dr Lucas Aaron Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639407992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 038013364 (Illinois) | Primary |
| 111N00000X | Chiropractor | 3963 (Oklahoma) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lucas Aaron Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Lucas Aaron Tanner, DC 21461 W Elmwood Ave, Wilmington, IL 60481-9613 Ph: (405) 795-3332 | Dr Lucas Aaron Tanner, DC 132 Depot St, Gardner, IL 60424-9401 Ph: (405) 795-3332 |
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