Individual
CHRISTINA M LUCAS-VOUGIOUKLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-4594
Mailing address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-4594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27501
BLUE CROSS
MI
Enumeration date
05/21/2007
Last updated
11/03/2023
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