LUCID NEUROLOGY NPI 1992261481

NPI Information

LUCID NEUROLOGY is a neurology psychiatry neurology in Southfield, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LUCID NEUROLOGY NPI is 1992261481. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26222 TELEGRAPH ROAD
SUITE 300
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 864-8752
Fax: (248) 920-0744

The provider's authorized official is Kevin Kachan .
The authorized official title is Manager/authorized Offical and has the following contact phone number (248) 250-3393.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 9/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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