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Lucas Fair

Surgery in Ann Arbor, MI. Individual provider (NPI-1).

NPI number1144782814
StatusActive
Last updated in NPPESJul 23, 2026

Details

NPI
1144782814
Entity type
Individual (NPI-1)
Name
Lucas Fair
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 2, 2019
Certification date
Jul 23, 2026
Last updated
Jul 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery4301516008MIYes

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Phone 734-936-4000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

700 Ne 13th St
Oklahoma City, OK 73104-5004

Phone 405-694-6399

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