Organization Active NPI

Christina Lucas DO

  • Family Medicine Physician
  • Trenton, MI
National Provider Identifier
1750510459
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016920 Issued in MI
Legal business name
CHRISTINA LUCAS DO
Practice address
5400 Fort St
Suite 130
Trenton, MI 48183-4632
Phone
(734) 362-7100
Fax
(734) 671-1768
NPI assigned
Jul 2, 2009
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016920 MI Primary

Addresses

Primary practice location

5400 Fort St
Suite 130
Trenton, MI 48183-4632

Mailing address

5400 Fort St
Suite 130
Trenton, MI 48183-4632
Phone (734) 362-7100

National Provider Directory

National Provider Directory

Locations

5400 Fort St
Ste 130
Trenton, MI 48183
Phone (734) 362-1200

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1750510459",
    "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": "CHRISTINA LUCAS DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-08-12",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.