Individual
LUCAS C MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
820 E TERRA COTTA AVE STE 144, CRYSTAL LAKE, IL 60014-3634
(815) 526-3658
Mailing address
820 E TERRA COTTA AVE STE 144, CRYSTAL LAKE, IL 60014-3634
(815) 526-3658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60043071
WA
Other
Enumeration date
01/05/2009
Last updated
08/04/2023
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