Provider Demographics
NPI:1871397810
Name:BOSLER, LUCAS (DC)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:
Last Name:BOSLER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 CONESTOGA AVE
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-1053
Mailing Address - Country:US
Mailing Address - Phone:610-273-7400
Mailing Address - Fax:
Practice Address - Street 1:2549 CONESTOGA AVE
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-1053
Practice Address - Country:US
Practice Address - Phone:610-273-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDC011961111N00000X
PADC011961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor