Provider Demographics
NPI:1508035791
Name:STANKER, LUCAS MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:MATTHEW
Last Name:STANKER
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 1:415 E 72ND TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1619
Mailing Address - Country:US
Mailing Address - Phone:913-306-1384
Mailing Address - Fax:
Practice Address - Street 1:11015 W 75TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66214-1107
Practice Address - Country:US
Practice Address - Phone:913-631-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-01757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor