Dr Lucas Tanner, LLC
Dr Lucas Tanner, LLC is a Clinic/Center in Gardner, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
132 Depot StGardner, IL 60424-9401
Phone: (405) 795-3332
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1194448480 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lucas Tanner — Owner · (405) 795-3332 |
| NPI enumerated | September 21, 2022 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 21461 W Elmwood Ave, Wilmington, IL 60481-9613 |