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General NPI Number Information
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NPI Number | 1538427059
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Entity Type | Organization
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Legal Business Name | LUCAS A JULIEN MD PLC
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 737 N GRAND AVE
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City | LANSING
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State | MI
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Zip | 48906-5160
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Country | US
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Telephone | 517-373-0500
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Fax | 517-482-3220
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Provider Business Mailing Address
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Address Line | 737 N GRAND AVE
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City | LANSING
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State | MI
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Zip | 48906-5160
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Country | US
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Telephone | 517-373-0500
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Fax | 517-482-3220
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Authorized Official
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Title or Position | COPORATE OFFICER
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Name | LUCAS A JULIEN
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Credential | MD
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Telephone | 517-372-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 4301084046
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License Number State | MI
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