Lori Mackillop in Southfield - Diabetes Educator
Lori Mackillop - NPI 1073535308
Lori Mackillop is a Diabetes Educator in Southfield, Michigan. Lori Mackillop practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Lori Mackillop is 1073535308. The last update date is 2019-01-29.
Lori Mackillop's current location address is 22255 Greenfield Rd Ste 350, Southfield, Michigan. You can contact this provider via phone number 2488492710 and fax number 2488494024. The mailing address for Lori Mackillop is 22255 Greenfield Rd Ste 350, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Mackillop |
|---|---|
| Address | 22255 Greenfield Rd Ste 350, Southfield, Michigan |
| Phone Number | 2488492710 |
| Fax Number | 2488494024 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1073535308 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2019-01-29 |
Provider Mailing Address Detail
| Address | 22255 Greenfield Rd Ste 350 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480753712 |
| Phone Number | 2488492710 |
| Fax Number | 2488494024 |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
| Licence No | 4704140266 |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110F324280 | MI | BCBS GROUP# |
Post Comment/ Review Below
What is the Lori Mackillop's unique identification number?
The Lori Mackillop has been assigned the NPI (National Provider Identifier) Number 1073535308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lori Mackillop is located?
The Lori Mackillop is situated at the following address: 22255 Greenfield Rd Ste 350, Southfield, MI, 480753712.
What is Lori Mackillop's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lori Mackillop's specialized field of practice is Diabetes Educator, and the corresponding taxonomy code that categorizes this area of specialization is 163Wd0400X.
On what date did the Lori Mackillop receive the assignment of its 1073535308 from the Centers for Medicare & Medicaid Services?
The Lori Mackillop was issued its 1073535308 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details pertaining to Lori Mackillop last refreshed?
The information related to the Lori Mackillop, including its address, specialty, and other relevant details, was last updated on 2019-01-29.