Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucas Mark Sanford, CSFA

Individual provider Surgical Assistant · NPI 1578378717

Lucas Mark Sanford, CSFA is a Surgical Assistant in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (866) 989-7999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 175899

Record details

NPI number1578378717
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 11, 2025