# COMPREHENSIVE FAMILY MEDICINE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144523788
- **Authorized official:** CHRISTINA MARIE LUCAS- VOUGIOUKLAKIS D.O. (OWNER)
- **Authorized official phone:** (734) 362-7100

## Contact information

- **Practice address:** 5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
- **Practice address phone:** (734) 362-7100
- **Practice address fax:** (734) 671-1768
- **Mailing address:** 5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
- **Mailing address phone:** (734) 362-7100
- **Mailing address fax:** (734) 671-1768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 5101016920 | MI | Yes |

## Other

- **Enumeration date:** 12/20/2010
- **Last updated:** 12/20/2010