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Individual

LEON LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
34050 INDUSTRIAL RD, LIVONIA, MI 48150-1306
(734) 293-0034
Mailing address
34050 INDUSTRIAL RD, LIVONIA, MI 48150-1306
(734) 293-0034

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1134203235
MI

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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