Andrea C Lightbourn Md Pllc in Southfield - Specialist
Andrea C Lightbourn Md Pllc - NPI 1720255987
Andrea C Lightbourn Md Pllc is a Specialist in Southfield, Michigan. Andrea C Lightbourn Md Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Andrea C Lightbourn Md Pllc is 1720255987. The last update date is 2014-02-06.
Andrea C Lightbourn Md Pllc's current location address is 29600 Northwestern Hwy, Southfield, Michigan. You can contact this provider via phone number 2488093530 and fax number 2483276082. The mailing address for Andrea C Lightbourn Md Pllc is 29600 Northwestern Hwy, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andrea C Lightbourn Md Pllc |
|---|---|
| Address | 29600 Northwestern Hwy, Southfield, Michigan |
| Phone Number | 2488093530 |
| Fax Number | 2483276082 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lightbourn C Andrea |
| Credentials | MD |
| Telephone Number | 2488093530 |
NPI Number Detail
| NPI Number | 1720255987 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2014-02-06 |
Provider Mailing Address Detail
| Address | 29600 Northwestern Hwy |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480341016 |
| Phone Number | 2488093530 |
| Fax Number | 2483276082 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301048299 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4408457 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea C Lightbourn Md Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Andrea C Lightbourn Md Pllc has been assigned the NPI (National Provider Identifier) 1720255987. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Andrea C Lightbourn Md Pllc's physical address?
The Andrea C Lightbourn Md Pllc is physically located at 29600 Northwestern Hwy, in the city of Southfield, MI, with the postal code 480341016.
What is Andrea C Lightbourn Md Pllc's area of expertise and its corresponding taxonomy classification?
The Andrea C Lightbourn Md Pllc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720255987 to Andrea C Lightbourn Md Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1720255987 to Andrea C Lightbourn Md Pllc on 2008-05-15.
When was the information regarding Andrea C Lightbourn Md Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea C Lightbourn Md Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-06.
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