Lucas, Mark A

Lucas, Mark A is an individual health care provider with primary practice located at 601 John St Suite M-206C, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lucas, Mark A can be contacted via phone (269) 349-9745.

Contact Information

Primary practice address
601 John St Suite M-206C Kalamazoo MI 49007-5341
Phone: (269) 349-9745
Fax: (269) 349-1013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301037689 Michigan

Profile Details

NPI number 1407890882
LBN Legal business name Lucas, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407890882 NPPES
Other 111760 GREAT LAKES HLTH PLN
Other 3403957061 GREAT LAKES HLTH PLN
Other 340C910480 GREAT LAKES HLTH PLN
MEDICAID 2999271-10 GREAT LAKES HLTH PLN
Other 4361735 GREAT LAKES HLTH PLN

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