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NPI Code Detail

MEDICARE: LUCAS BENN

MEDICARE: LUCAS BENN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIL

General Provider Information

NPI Number : 1841121050
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS BENN
Provider Business Mailing Address
First Line : 812 SKYLINE DR STE 200
Second Line :
City : MARION
State : IL
Zip : 62959-4874
Country : US
Telephone Number : 618-440-1534
Fax Number :
Provider Business Practice Location Address
First Line : 812 SKYLINE DR STE 200
Second Line :
City : MARION
State : IL
Zip : 62959-4874
Country : US
Telephone Number : 618-440-1534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ LUCAS BENN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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