Leon Lucas

NPI 1750700365 - Community Health Worker - 172V00000X

NPI Details
NPI 1750700365
Gender Male
Enumeration Date 04/10/2014
Last Updated 04/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
34050 INDUSTRIAL RD
LIVONIA MI, 48150-1306, US
Phone (734) 293-0034
Fax
Business Location
34050 INDUSTRIAL RD
LIVONIA MI, 48150-1306, US
Phone (734) 293-0034
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Michigan
License Number 1134203235
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According to our database, Leon Lucas NPI is 1750700365, taxonomy code is 172V00000X and license number is 1134203235, license state is located at Michigan. Leon Lucas physically located at 34050 Industrial Rd, Livonia MI, 48150-1306. NPI Number Leon Lucas has the Individual type.

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1750700365 NPI number is provided on an as is basis without warranty of any kind. 1750700365 is maintained by the National Plan & Provider Enumeration System. The contents of Leon Lucas are for informational purposes only.