Provider Demographics
NPI:1164662243
Name:ZEF LUCAJ MD PC
Entity type:Organization
Organization Name:ZEF LUCAJ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEUROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ZEF
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-263-0610
Mailing Address - Street 1:15945 19 MILE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1147
Mailing Address - Country:US
Mailing Address - Phone:586-263-0610
Mailing Address - Fax:586-263-0834
Practice Address - Street 1:15945 19 MILE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1147
Practice Address - Country:US
Practice Address - Phone:586-263-0610
Practice Address - Fax:586-263-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIZL068629174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty