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NPI Code Detail

MEDICARE: LUCAS A JULIEN MD PLC

MEDICARE: LUCAS A JULIEN MD PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208C00000XColon & Rectal Surgery Physician4301084046MI

General Provider Information

NPI Number : 1538427059
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCAS A JULIEN MD PLC
Provider Business Mailing Address
First Line : 737 N GRAND AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5160
Country : US
Telephone Number : 517-373-0500
Fax Number : 517-482-3220
Provider Business Practice Location Address
First Line : 737 N GRAND AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5160
Country : US
Telephone Number : 517-373-0500
Fax Number : 517-482-3220
Authorized Official
Title or Position : COPORATE OFFICER
Name : LUCAS A JULIEN
Credential : MD
Telephone Number : 517-372-0500
Provider Enumeration Date : 05/03/2012
Last Update Date : 05/03/2012

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Directions to “LUCAS A JULIEN MD PLC ” Practice Location

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