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

Stacy Lueckeman

Individual provider Physician Assistant · NPI 1336623495

Stacy Lueckeman is a Physician Assistant in Burton, Michigan. Qualified in 2018, 8 years ago. Practices with McLaren Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018

Practice location Address checks out

6173 Greenview Ct
Burton, MI 48509-2607
Phone: (810) 347-7468
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008834 (MI)

Record details

NPI number1336623495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McLaren Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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