Individual provider · Type 1 NPI
Lucas Ray Moake
Student in an Organized Health Care Education/Training Program · Lebanon, IL
NPI number
1780545863
Active
Practice location
701 College Rd
Lebanon, IL 62254-1291
Mailing address
200 Mascoutah Ave Apt 1
Belleville, IL 62220-3885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13 other providers at this address
- Abigail Louise Conner, ATCAthletic Trainer Lebanon, IL NPI 1255957544
- Abigail Maurer, ATCAthletic Trainer Lebanon, IL NPI 1366823346
- Amber M. Trevino, DAT, M.S, ATC, LATAthletic Trainer Lebanon, IL NPI 1922498187
- Beth Allan, FPA APRN NP-CNurse Practitioner Lebanon, IL NPI 1871982637
- Blake HudspethAthletic Trainer Lebanon, IL NPI 1558988519
- Brooke Buchmueller, LAT, ATCSports Medicine (Physical Medicine & Rehabilitation) Physician Lebanon, IL NPI 1174114144
- Dawn M. Hankins, PhD, ATCAthletic Trainer Lebanon, IL NPI 1013970706
- Jessica L. Henderson, ATCAthletic Trainer Lebanon, IL NPI 1609399039
- Joshua Parker Craig, ATCAthletic Trainer Lebanon, IL NPI 1629595509
- Katy Renee Gayford, ATC, PhDAthletic Trainer Lebanon, IL NPI 1588280200
- Kristin Von Hatten, MS, ATC, CSCSAthletic Trainer Lebanon, IL NPI 1033662614
- Lance L. Ringhausen, ATCAthletic Trainer Lebanon, IL NPI 1831531326
About NPI 1780545863
Lucas Ray Moake's National Provider Identifier is 1780545863, issued on Nov 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, IL. The record was last updated on Nov 19, 2025.