Lukas Dean Brase
NPI #1396542346 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1396542346
- Entity Type
- Individual
- Name
- Lukas Dean Brase
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Feb 27, 2025
- Last Updated
- Feb 27, 2025
Practice Location
- Address
- 1089 TAMPICO DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-5195
- Phone
- (618) 971-1758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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