Organization · Type 2 NPI
Dr. Lucas Tanner, LLC
Clinic/Center · Gardner, IL
NPI number
1194448480
Active
Practice location
132 Depot St
Gardner, IL 60424-9401
Mailing address
21461 W Elmwood Ave
Wilmington, IL 60481-9613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1194448480
Dr. Lucas Tanner, LLC's National Provider Identifier is 1194448480, issued on Sep 21, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gardner, IL. The record was last updated on Oct 26, 2022.