Provider Demographics
NPI:1699215996
Name:HAYES, LUCAS KASEN (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:KASEN
Last Name:HAYES
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 1:27450 YNEZ RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-4671
Mailing Address - Country:US
Mailing Address - Phone:951-694-9200
Mailing Address - Fax:
Practice Address - Street 1:27450 YNEZ RD
Practice Address - Street 2:SUITE 116
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4671
Practice Address - Country:US
Practice Address - Phone:951-694-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor