Individual
NATHAN JAMES LUCKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
44562 BAYVIEW AVE APT 13112, CLINTON TOWNSHIP, MI 48038-7057
(586) 601-6244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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