Dr. Stephenie M Lucas
General Practice Physician
22631 Greater Mack Ave Suite 100
Saint Clair Shores
, Michigan 48080-2055
Dr. Stephenie M Lucas
General Practice Physician
22631 Greater Mack Ave Suite 100
Saint Clair Shores
, Michigan 48080-2055
(248) 584-0241
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Stephenie M Lucas
- Po Box 44047
- Detroit, MI
- Zip : 48244-0047
- Fax : (248) 584-0241
- Phone : (248) 584-0240
Second Address
- Dr. Stephenie M Lucas
- 22631 Greater Mack Ave Suite 100
- Saint Clair Shores, MI
- Zip : 48080-2055
- Phone : (586) 771-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | SL032256 | MI |
National Provider Identifier
| NPI | 1023116068 |
|---|---|
| Provider Name | Dr. Stephenie M Lucas |
| First Address | Detroit, MI 48244-0047 |
| Second Address | Saint Clair Shores, MI 48080-2055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 24/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2713258 | (05) | MI |
| A74387 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.