Individual
LUCAS KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19315 W CATAWBA AVE STE 100, CORNELIUS, NC 28031-5637
(704) 896-1811
Mailing address
729 ENZO CT APT 308, ROCK HILL, SC 29730-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4867
NC
111NR0400X
Rehabilitation Chiropractor
4867
NC
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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