Lulek, James Randolph
Lulek, James Randolph is an individual health care provider with primary practice located at 18181 Oakwood Blvd Suite 209, Dearborn MI 48124-5032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lulek, James Randolph can be contacted via phone (313) 271-8560.Contact Information
Primary practice address
18181 Oakwood Blvd Suite 209
Dearborn MI 48124-5032
Phone: (313) 271-8560
Fax: (313) 271-2831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301035314 | Michigan |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301035314 | Michigan |
Profile Details
| NPI number | 1316911498 |
|---|---|
| LBN Legal business name | Lulek, James Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316911498 | NPPES |
| Michigan | MEDICAID | 1343439 | |
| Michigan | Other | 020H263670 | |
| Michigan | Other | 02-0820266-2 | |
| Michigan | Other | B6130 |
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