Individual
DR. CAROLYN SUE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3887 OKEMOS RD, SUITE A2, OKEMOS, MI 48864-3664
(517) 333-6700
(517) 347-3702
Mailing address
3887 OKEMOS RD, SUITE A2, OKEMOS, MI 48864-3664
(517) 333-6700
(517) 347-3702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044627
VALUE OPTIONS
MI
01
—
0C33276
BLUE CROSS BLUE SHIELD PI
MI
Enumeration date
09/28/2006
Last updated
09/25/2013
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