Lucas, Stephenie M

Lucas, Stephenie M is an individual health care provider with primary practice located at 22631 Greater Mack Ave Suite 100, Saint Clair Shores MI 48080-2055. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Lucas, Stephenie M can be contacted via phone (586) 771-0100.

Contact Information

Primary practice address
22631 Greater Mack Ave Suite 100 Saint Clair Shores MI 48080-2055
Phone: (586) 771-0100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X SL032256 Michigan

Profile Details

NPI number 1023116068
LBN Legal business name Lucas, Stephenie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 24th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023116068 NPPES
Michigan MEDICAID 2713258

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