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1013955137
CHARLES EDWARD LUCAS
DETROIT, MI
NPI
1013955137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301025345)
Enumeration Date
2006-06-02
Last Update Date
2016-02-19
Business Address
-- CHARLES EDWARD LUCAS MD
4160 JOHN R ST SUITE 615
DETROIT, MI 48201-2020
Phone number: 313-745-4195
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Mailing Address
-- CHARLES EDWARD LUCAS MD
1560 E MAPLE RD SUITE 400-CREDENTIALING
TROY, MI 48083-1189
Phone number: 248-581-5974
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