Individual
STEVEN MARK LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 300, DEARBORN, MI 48124-4085
(313) 271-0430
(313) 429-7941
Mailing address
1560 E. MAPLE RD., SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 271-0430
(313) 429-7941
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01065967A
IN
208800000X
Urology Physician
Primary
4301098339
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0018119
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
12/07/2023
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