DR. STEPHENIE M LUCAS


Address: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055
Phone: 5867710100

DR. STEPHENIE M LUCAS (NPI# 1023116068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023116068
Entity Type Individual
Full Name DR. STEPHENIE M LUCAS
Credential M.D.
Practice Address 22631 Greater Mack Ave
Suite 100
Saint Clair Shores
MI 48080-2055
Mailing Address Po Box 44047
Detroit
MI 48244-0047
Practice Telephone 5867710100
Mailing Telephone 2485840240
Mailing Fax Number 2485840241
Enumeration Date 2006-09-21
Last Update Date 2010-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice SL032256 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2713258 05

Office Location

Street Address 22631 GREATER MACK AVE
SUITE 100
City SAINT CLAIR SHORES
State MI
Zip Code 48080-2055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285654152 Michael Allen Macdonald Audiologist 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 2006-07-20
1255886305 Patricia Roach Hearing Instrument Specialist 22631 Greater Mack Ave, Ste 100, Saint Clair Shores, MI 48080-2055 2016-08-18
1538515721 Audionet America - St Clair Shores LLC Audiologist 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 2016-05-06
1548597149 Jo Anne Levitan Md PC Surgery 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 2009-11-03
1225217128 Pointes Plastic Surgery Associates P C Plastic Surgery 22631 Greater Mack Ave, Suite 200, Saint Clair Shores, MI 48080-2055 2007-10-26
1255407631 Joram O Mogaka Internal Medicine 22631 Greater Mack Ave, Saint Clair Shores, MI 48080-2055 2006-11-28
1982627196 George Thomas Goffas Oral & Maxillofacial Surgery 22631 Greater Mack Ave, Ste 200, Saint Clair Shores, MI 48080-2055 2006-07-26
1144261272 Joanne Levitan Surgery 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508482084 Farrah Aleema Rajab Family Medicine 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 2020-06-22
1558986141 Julia Anastazja Krakowska Family Medicine 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 2020-06-10
1972073567 Joyce Stepnak Social Worker 19611 E. 8 Mile Rd, Scs, MI 48080 2018-11-27
1487134177 Bonnie Girson Social Worker 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 2018-08-21
1609309913 Park Pharmacy Scs LLC Pharmacy 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 2017-04-05
1730564055 Mary Rose Giroux Psychologist 22516 Overlake St, St. Clair Shores, MI 48080 2015-07-28
1962882910 Ali Tarif Bazzy Family Medicine 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 2015-06-04
1497156228 Kelly Zalewski Social Worker 24631 Jefferson Ave, Saint Clair Shores, MI 48080 2014-09-11
1669871364 Mallory Margret Gordon Psychologist 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 2014-08-19
1932549375 Alexander Peter Bill Otolaryngology 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 2013-06-30
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1558913251 Baybrooke Counseling General Practice 421 St. Josephs Ave, Suttons Bay, MI 49682 2019-07-12
1962062539 Healthcare Alliance Pllc General Practice 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 2019-06-17
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1215422555 The Natural Momma Me Initiative General Practice 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 2018-06-28
1881183028 Silverstone Medical Group, Pllc General Practice 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 2018-05-03
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Competitor

Search similar providers

City SAINT CLAIR SHORES
Zip Code 48080

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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