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Individual

DAVID ROBERT LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301053197
MI
207ZP0101X
Anatomic Pathology Physician
Primary
4301053197
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4521697
MI
Enumeration date
10/19/2006
Last updated
04/23/2019
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