Individual
MICHELE LUCASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1027 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 301-8300
Mailing address
1027 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 301-8300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401265
MI
111N00000X
Chiropractor
CHIR010043
GA
Other
Enumeration date
05/10/2018
Last updated
07/21/2022
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