Provider Demographics
NPI:1487549135
Name:MCELWAIN, LUCIA (OD)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:MCELWAIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8443 TIPSICO TRL
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8933
Mailing Address - Country:US
Mailing Address - Phone:810-813-4083
Mailing Address - Fax:
Practice Address - Street 1:2865 S LINCOLN RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-9085
Practice Address - Country:US
Practice Address - Phone:989-773-7747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program