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DR. LUCAS TANNER, LLC
NPI 1194448480
Clinic/Center in Gardner, IL

Active since September 21, 2022
132 DEPOT ST, GARDNER, IL 60424(405) 795-3332 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Oct 9, 2022, Sep 21, 2022 (3 updates tracked since 2022).

About Dr. Lucas Tanner, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCAS TANNER, LLC (NPI 1194448480) is a healthcare organization registered as a clinic/center in Gardner, Illinois and active in the NPI registry since September 2022. The organization lists Lucas Aaron Tanner, Owner, as its authorized official.

NPPES Registry Identity

NPI1194448480
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR. LUCAS TANNER, LLC
Location Address132 DEPOT STGardner, IL 60424-9401
Mailing Address21461 W Elmwood AveWilmington, IL 60481-9613 · (405) 795-3332
Phone(405) 795-3332
Organization SubpartNo
Authorized OfficialLucas Aaron TannerOwner · (405) 795-3332
Enumeration DateSeptember 21, 2022
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1194448480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
132 DEPOT ST, Gardner, IL 60424
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCAS AARON TANNER DC
Chiropractor
132 DEPOT ST
GARDNER, IL 60424
Grundy County (405) 795-3332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Lucas Tanner, LLC's NPI number?

The NPI number for Dr. Lucas Tanner, LLC is 1194448480. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Dr. Lucas Tanner, LLC located?

Dr. Lucas Tanner, LLC is located at 132 Depot St, Gardner, IL 60424. The listed phone number is (405) 795-3332.

What is Dr. Lucas Tanner, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dr. Lucas Tanner, LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.