NPI 1023116068

Stephenie M Lucas, MD

Practitioner General Practice Physician Saint Clair Shores, MI

Practice location

Address: 22631 Greater Mack Ave Suite 100, Saint Clair Shores, MI 48080-2055
Phone: (586) 771-0100
Mailing address: PO Box 44047, Detroit, MI 48244-0047

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence SL032256 (MI)

Other General Practice providers in Michigan →

Registry record

NPI: 1023116068
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 24 Jun 2010

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.