Individual ProviderLucas Robert Beattie WilsonChiropractorChiropractic ProvidersPractice Address1603 60th Ave W, Bradenton, FL 34207-4658(941) 727-8739PECOS EnrollmentBased on the most recent information from CMS, provider Lucas Robert Beattie Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1902333479Provider TypeIndividualFull NameWilson, Lucas Robert BeattieTitleDr.CredentialDCGenderMaleSole ProprietorYesEnumeration Date5/16/2017Last Updated5/16/2017Contact InformationPractice LocationPractice Address1603 60th Ave W, Bradenton, FL 34207-4658Phone(941) 727-8739FaxUnlisted FaxMailing LocationMailing Address1603 60th Ave W, Bradenton, FL 34207-4658PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCH12086Florida