Lucas, Tyler Jacob

Lucas, Tyler Jacob is an individual health care provider with primary practice located at 301 Satori Pkwy Ste 120 , Avon IN 46123-6407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lucas, Tyler Jacob can be contacted via phone (317) 718-4263.

Contact Information

Primary practice address
301 Satori Pkwy Ste 120 Avon IN 46123-6407
Phone: (317) 718-4263
Fax: (317) 272-7855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11019906A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02006385A Indiana

Profile Details

NPI number 1295232643
LBN Legal business name Lucas, Tyler Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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