Lucas Ray Moake
Lucas Ray Moake is a Student in an Organized Health Care Education/Training Program in Lebanon, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
701 College RdLebanon, IL 62254-1291
Phone: (618) 232-7228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (IL) |
|---|
Record details
| NPI number | 1780545863 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 19, 2025 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
| Mailing address | 200 Mascoutah Ave Apt 1, Belleville, IL 62220-3885 |