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Individual

WILLIAM ROBERT LUCAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI 48201-1423
(313) 577-8900
(313) 577-0700
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 577-8900
(313) 577-0700

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301041442
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2121874-10-0
MI
Enumeration date
03/08/2006
Last updated
09/11/2015
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