Individual ProviderMichele LucassianChiropractorChiropractic ProvidersPractice Address1027 Gezon Pkwy SW, Wyoming, MI 49509-9542(616) 301-8300PECOS EnrollmentBased on the most recent information from CMS, provider Michele Lucassian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1104315613Provider TypeIndividualFull NameLucassian, MicheleCredentialDCGenderFemaleSole ProprietorNoEnumeration Date5/10/2018Last Updated7/21/2022Contact InformationPractice LocationPractice Address1027 Gezon Pkwy SW, Wyoming, MI 49509-9542Phone(616) 301-8300FaxUnlisted FaxMailing LocationMailing Address1027 Gezon Pkwy SW, Wyoming, MI 49509-9542Phone(616) 301-8300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense2301401265MichiganCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseCHIR010043Georgia