IndividualActive
Amanda Lucaj
NPI 1265102099 · Technician/Technologist · Shelby Township, MI
Provider details
- NPI number
- 1265102099
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
49970 Van Dyke Ave
Shelby Township, MI 48317-1347
Phone: (586) 991-6596
Approximate (ZIP-level) locationGet directions
Mailing address
49970 Van Dyke Ave
Shelby Township, MI 48317-1347
Registry dates
- Enumerated
- 2021-09-14
- Last updated
- 2022-11-08
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.