Lucid Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LUCID NEUROLOGY

Practice address

26222 Telegraph Road
Suite 300
Southfield, MI 48033

Phone

(248) 864-8752

Fax

(248) 920-0744

NPI assigned

Feb 20, 2019

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Kachan

Title

Manager/Authorized Offical

Phone

(248) 250-3393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1992261481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26222 TELEGRAPH ROAD",
            "address_2": "SUITE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "248-864-8752",
            "fax_number": "248-920-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26222 TELEGRAPH ROAD",
            "address_2": "SUITE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "248-864-8752",
            "fax_number": "248-920-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "KACHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER/AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "248-250-3393"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lavete Lucas
• Lucent Surgical Solutions, Inc. (Infudyne)
• Lucentcare
• Alicia Luch, LLMFT
• Alexandria Luchenbach-McClellan, LLMFT
• Jaime Luczak
• Austin Lui, DO
• Tierra C Luke
• Alexis Lumaj
• Luna Health

• Neurology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.