OrganizationActive
Dr. Lucas Tanner, LLC
NPI 1194448480 · Clinic/Center · Gardner, IL
Provider details
- NPI number
- 1194448480
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lucas Tanner, Owner(405) 795-3332
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
132 Depot St
Gardner, IL 60424-9401
Phone: (405) 795-3332
Approximate (ZIP-level) locationGet directions
Mailing address
21461 W Elmwood Ave
Wilmington, IL 60481-9613
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.