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Tameca Lucian Baccus

NPI 1588248868ActiveIndividual· Licensed Practical Nurse· Highland Park, MI

Licensed Practical Nurse in Highland Park, Michigan, licensed in MI, with an NPI issued in May 2021.

Overview

NPI1588248868
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certified by providerMay 12, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X4703113818MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Highland Park

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