Individual
LUCAS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-7916
Mailing address
155 MIAMI ST, TIFFIN, OH 44883-2109
(419) 448-3480
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3982
OH
2255A2300X
Athletic Trainer
36001524A
IN
Other
Enumeration date
11/01/2011
Last updated
03/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us