Individual
DR. JAMES RANDOLPH LULEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831
Mailing address
18181 OAKWOOD BLVD, SUITE 209, DEARBORN, MI 48124-5032
(313) 271-8560
(313) 271-2831
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301035314
MI
2086S0129X
Vascular Surgery Physician
Primary
4301035314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0820266-2
BCBSM INDIVIDUAL PIN#
MI
01
—
020H263670
BCBSM GROUP PIN#
MI
05
—
1343439
—
MI
01
—
B6130
MCARE INDIVIDUAL PIN#
MI
Enumeration date
02/15/2006
Last updated
06/12/2025
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