Individual
LUC LUCAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15121 24 MILE RD, SHELBY TOWNSHIP, MI 48315-2109
(586) 677-4015
Mailing address
55940 ROMEO PLANK RD, MACOMB, MI 48042-1622
(586) 453-7002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414395
MI
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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