Provider Demographics
NPI:1760655195
Name:TAMER, LUCIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCIEN
Middle Name:
Last Name:TAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5710 SAINT JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-1240
Mailing Address - Country:US
Mailing Address - Phone:269-281-3994
Mailing Address - Fax:269-588-3047
Practice Address - Street 1:854 WASHINGTON AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-7144
Practice Address - Country:US
Practice Address - Phone:616-355-3926
Practice Address - Fax:616-393-6651
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0015592084P0800X
MI43010977572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry