Provider Demographics
NPI:1871848333
Name:CHESSER, LUCAS DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:DANIEL
Last Name:CHESSER
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 1:5370 HOLLISTER AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2303
Mailing Address - Country:US
Mailing Address - Phone:805-636-9729
Mailing Address - Fax:
Practice Address - Street 1:5370 HOLLISTER AVE
Practice Address - Street 2:SUITE K
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-2303
Practice Address - Country:US
Practice Address - Phone:805-636-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-32310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor