Individual
CHANCELOR LUCAS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 219-4009
Mailing address
207 MONROE ST APT 9, BEAVER DAM, WI 53916-2475
(920) 382-7313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1063-39
WI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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