Provider Demographics
NPI:1598941924
Name:LUCIO O. SAYGAN M.D., P.C.
Entity Type:Organization
Organization Name:LUCIO O. SAYGAN M.D., P.C.
Other - Org Name:HILLSDALE LASER CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LUCIO
Authorized Official - Middle Name:O
Authorized Official - Last Name:SAYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-437-4414
Mailing Address - Street 1:506 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9300
Mailing Address - Country:US
Mailing Address - Phone:517-437-4414
Mailing Address - Fax:517-437-7323
Practice Address - Street 1:506 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9300
Practice Address - Country:US
Practice Address - Phone:517-437-4414
Practice Address - Fax:517-437-7323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILS033130208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1422040Medicaid
0203013662OtherBCBS
0203013662OtherBCBS
B45343Medicare UPIN