Provider Demographics
NPI:1508250259
Name:MARCHAND, LUCAS (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:
Last Name:MARCHAND
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 1:2314 W ADAMS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-3931
Mailing Address - Country:US
Mailing Address - Phone:254-778-2225
Mailing Address - Fax:
Practice Address - Street 1:2314 W ADAMS AVE STE A
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-3931
Practice Address - Country:US
Practice Address - Phone:254-778-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor