Organization
CHRISTINA LUCAS DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE LUCAS-VOUGIOUKLAKIS D.O. (OWNER)
(734) 362-7100
Entity
Organization
Contact information
Practice address
5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
(734) 362-7100
(734) 671-1768
Mailing address
5400 FORT ST, SUITE 130, TRENTON, MI 48183-4632
(734) 362-7100
(734) 671-1768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016920
MI
Other
Enumeration date
07/02/2009
Last updated
08/12/2009
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