Provider Demographics
NPI:1023460144
Name:LUCIER, ERICA (OD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LUCIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 COOLIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1378
Mailing Address - Country:US
Mailing Address - Phone:517-337-0316
Mailing Address - Fax:517-337-1779
Practice Address - Street 1:2790 W GRAND RIVER AVE STE 200
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8424
Practice Address - Country:US
Practice Address - Phone:517-548-3571
Practice Address - Fax:517-545-2543
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004981152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4901004981OtherSTATE LICENSE