Individual provider · Type 1 NPI

Emily Johanna Lucassian

Physician Assistant · Clinton Township, MI

NPI number 1003439126 Active

Practice location

15717 15 Mile Rd
Clinton Township, MI 48035-2101

Call (586) 285-3800 Map

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 1225 S Latson Rd, Howell, MI 48843-7643 · (517) 338-2370
  • 110 E 2nd St, Royal Oak, MI 48067-2694 · (800) 653-6568
  • 3300 E Jefferson Ave Ste 100, Detroit, MI 48207-4489 · (313) 656-1618

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X5601010141 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003439126

Emily Johanna Lucassian's National Provider Identifier is 1003439126, issued on May 22, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clinton Township, MI. The record was last updated on Mar 3, 2025.