Lucas J Wilson, OD
NPI #1508488594 in Farmington Hills, Michigan
Provider Information
- NPI Number
- 1508488594
- Entity Type
- Individual
- Name
- Lucas J Wilson, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- May 12, 2020
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 31114 HAGGERTY RD
- City
- Farmington Hills
- State
- Michigan
- ZIP Code
- 48331-5803
- Phone
- (248) 788-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Student in an Organized Health Care Education/Training Program |
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