Search › Michigan › 376J00000X
Lucas Underwood
NPI 1154183861 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12431 Reeck Rd
Southgate, MI 48195 - Phone
- (313) 603-8105
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan