Individual
MAURICE W LUCAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9359 VAUGHAN ST, DETROIT, MI 48228-1683
(313) 610-5558
Mailing address
9359 VAUGHAN ST, DETROIT, MI 48228-1683
(313) 610-5558
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L220590870917
MI
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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