Individual
LORRAINE L LUCAS-GUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24230 KARIM BLVD STE 100, NOVI, MI 48375-2960
(248) 871-1512
(248) 994-4624
Mailing address
19239 BERDEN ST, HARPER WOODS, MI 48225-2401
(313) 778-2460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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