Organization Active NPI

Lucent Spine, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Livonia, MI
National Provider Identifier
1376808105
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301083331 Issued in MI
Legal business name
LUCENT SPINE, PLLC
Practice address
14555 Levan Rd Ste 120
Livonia, MI 48154-5046
Phone
(734) 707-7463
Fax
(888) 847-9525
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Stanley Lee, M.D.NPI 1306932124
Title
Principal&Medical Director
Phone
(734) 707-7463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 4301083331 MI Primary

Addresses

Primary practice location

14555 Levan Rd Ste 120
Livonia, MI 48154-5046

Mailing address

2631 Plymouth Rd
Ann Arbor, MI 48105-2469
Phone (734) 707-7463

Other practice location 1

23550 Park St Ste 100
Dearborn, MI 48124-2592
Phone (734) 707-7463

Other practice location 2

6255 Inkster Rd Ste 201
Garden City, MI 48135-2538
Phone (734) 707-7463

Other practice location 3

28050 Grand River Ave Ste 208
Farmington Hills, MI 48336-5919
Phone (734) 707-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930000474 MI Part B Supplier - Clinic/Group Practice 6608163993 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI; Garden City, MI; Ann Arbor, MI; Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

2631 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 707-7463

3010 Washtenaw Ave
Ste A107
Ann Arbor, MI 48104
Phone (734) 707-7463

28050 Grand River Ave
Ste 208
Farmington Hills, MI 48336
Phone (248) 471-8030

14555 Levan Rd
Ste 310
Livonia, MI 48154
Phone (734) 591-1171

14555 Levan Rd
Ste 120
Livonia, MI 48154
Phone (248) 926-1960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1376808105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052469",
            "telephone_number": "734-707-7463",
            "fax_number": "888-847-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD STE 120",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545046",
            "telephone_number": "734-707-7463",
            "fax_number": "888-847-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23550 Park St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242592",
            "country_code": "US",
            "telephone_number": "734-707-7463",
            "fax_number": "734-707-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6255 Inkster Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481352538",
            "country_code": "US",
            "telephone_number": "734-707-7463",
            "fax_number": "734-707-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "734-707-7463",
            "fax_number": "888-847-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCENT SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRINCIPAL&MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-707-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301083331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.