Individual
DR. MARK WILLIAM LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4170 LENNON RD, SUITE C, FLINT, MI 48507-1083
(810) 732-0303
(810) 732-1360
Mailing address
6067 BROOKSTONE LN, GRAND BLANC, MI 48439-9432
(810) 695-6780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013273
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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