1. Home
  2. Directory
  3. Illinois
  4. Lebanon
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

LUCAS RAY MOAKE
NPI 1780545863
Student in an Organized Health Care Education/Training Program in Lebanon, IL

Active since November 19, 2025
701 COLLEGE RD, LEBANON, IL 62254(618) 232-7228 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucas Ray Moake NPPES

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

LUCAS RAY MOAKE (NPI 1780545863) is an individual student in an organized health care education/training program in Lebanon, Illinois and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1780545863
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCAS RAY MOAKE
Location Address701 COLLEGE RDLebanon, IL 62254-1291
Mailing Address200 Mascoutah Ave Apt 1Belleville, IL 62220-3885 · (618) 964-0210
Phone(618) 232-7228
Sole ProprietorNo
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1780545863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
701 COLLEGE RD, Lebanon, IL 62254
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

PROF. DAWN M. HANKINS PHD, ATC
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD, MCKENDREE COLLEGE
LEBANON, IL 62254
St. Clair County (618) 537-6917
KRISTIN VON HATTEN MS, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6929
BROOKE BUCHMUELLER LAT, ATC
Physical Medicine & Rehabilitation (Sports Medicine)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6929
ABIGAIL LOUISE CONNER ATC
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6917
ABIGAIL MAURER ATC
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (815) 712-3529
SYDNEY DIEKHOFF ATC
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6929
BLAKE HUDSPETH
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6929
KATY RENEE GAYFORD ATC, PHD
Specialist/Technologist (Athletic Trainer)
701 COLLEGE RD
LEBANON, IL 62254
St. Clair County (618) 537-6472

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 Lucas Moake's NPI number?

The NPI number for Lucas Moake is 1780545863. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Lucas Moake located?

Lucas Moake practices at 701 College Rd, Lebanon, IL 62254. The listed phone number is (618) 232-7228.

What is Lucas Moake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lucas Moake was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.