Comprehensive Family Medicine PLC

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

5101016920 Issued in MI

Legal business name

COMPREHENSIVE FAMILY MEDICINE PLC

Practice address

5400 Fort St
Suite 130
Trenton, MI 48183-4632

Phone

(734) 362-7100

Fax

(734) 671-1768

NPI assigned

Dec 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Marie Lucas- Vougiouklakis, D.O.

Title

Owner

Phone

(734) 362-7100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1144523788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "LUCAS- VOUGIOUKLAKIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-362-7100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "MI",
            "license": "5101016920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Family Medicine) Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Adolescent Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.