Individual
DR. PATRICIA ANN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4727 SAINT ANTOINE ST STE 408, DETROIT, MI 48201-1461
(313) 833-7309
(810) 695-6728
Mailing address
4494 WARWICK CIRCLE DR, GRAND BLANC, MI 48439-8337
(810) 695-6621
(810) 695-6728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382425378
TAX ID
—
Enumeration date
09/17/2006
Last updated
07/31/2012
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