Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lukas Dean Brase

Individual provider Athletic Trainer · NPI 1396542346

Lukas Dean Brase is an Athletic Trainer in Edwardsville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1089 Tampico Dr
Edwardsville, IL 62025-5195
Phone: (618) 971-1758
Show map & directions

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
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1396542346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 26, 2025
Mailing address1089 Tampico Dr, Edwardsville, IL 62025-5195

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