Individual
LUCAS JAMES UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12431 REECK RD, SOUTHGATE, MI 48195-2250
(313) 603-8105
Mailing address
12431 REECK RD, SOUTHGATE, MI 48195-2250
(313) 603-8105
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
MI
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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