Provider Demographics
NPI:1548473747
Name:SCHLEPPENBACH, LUCAS T (DC)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:T
Last Name:SCHLEPPENBACH
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 1:302 N BARSTOW ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-0000
Mailing Address - Country:US
Mailing Address - Phone:715-529-7975
Mailing Address - Fax:
Practice Address - Street 1:302 N BARSTOW ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-0000
Practice Address - Country:US
Practice Address - Phone:715-529-7975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4373-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor