Manieri, Lukas Dominic

Manieri, Lukas Dominic is an individual health care provider with primary practice located at 1111 Trinity Ln Ste 111 , Bloomington IL 61704-8112. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Manieri, Lukas Dominic can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Ste 111 Bloomington IL 61704-8112
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 16-06-30 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004560 Illinois

Profile Details

NPI number 1164939179
LBN Legal business name Manieri, Lukas Dominic
Credentials ATC, OTC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2017
Last updated Dec 29th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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