NPI 1013955137

Charles Edward Lucas, MD

Practitioner Surgery Physician Detroit, MI

Practice location

Address: 4160 John R St Suite 615, Detroit, MI 48201-2020
Phone: (313) 745-4195
Fax: (313) 993-8669
Mailing address: 1560 E Maple Rd Suite 400-Credentialing, Troy, MI 48083-1189

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301025345 (MI)

Other Surgery providers in Michigan →

Registry record

NPI: 1013955137
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2006
Record last updated: 19 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.