Provider Demographics
NPI:1053645531
Name:GAFKEN, LUCAS DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:DAVID
Last Name:GAFKEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2146 STATE ROAD 8
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-9548
Mailing Address - Country:US
Mailing Address - Phone:260-925-5101
Mailing Address - Fax:
Practice Address - Street 1:2146 STATE ROAD 8
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-9548
Practice Address - Country:US
Practice Address - Phone:260-925-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002478A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor