LUCAS MARK SANFORD

GRAND RAPIDS, MI
NPI1578378717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence:   175899)
Enumeration Date2025-02-12
Last Update Date2025-02-12
Business Address
LUCAS MARK SANFORD CSFA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 866-989-7999
Mailing Address
LUCAS MARK SANFORD CSFA
3804 YORKLAND DR NW APT 9
COMSTOCK PARK, MI 49321-8892
Phone number: 231-360-1940