Individual
DR. JACOB CHARLES LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30055 NORTHWESTERN HWY STE 101, FARMINGTON HILLS, MI 48334-3260
(248) 865-4444
Mailing address
30055 NORTHWESTERN HWY STE 101, FARMINGTON HILLS, MI 48334-3260
(248) 569-7745
(248) 865-6161
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
4351049674
MI
Other
Enumeration date
05/31/2017
Last updated
11/16/2023
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