Individual
LUCAS PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25500 MEADOWBROOK RD STE 225, NOVI, MI 48375-1882
(248) 426-1300
(248) 426-1311
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-7960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601010286
LARA
MI
Enumeration date
11/06/2020
Last updated
01/06/2026
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