Andrea C Lightbourn Md Pllc

LBN: Andrea C Lightbourn Md Pllc
Andrea C Lightbourn Md Pllc is an health care organization with primary practice located at 29600 Northwestern Hwy 104, Southfield MI 48034-1016. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Andrea C Lightbourn Md Pllc can be contacted via phone (248) 809-3530, or through Lightbourn, Andrea C via phone (248) 809-3530.

Contact Information

Primary practice address
29600 Northwestern Hwy 104 Southfield MI 48034-1016
Phone: (248) 809-3530
Fax: (248) 327-6082
Website:
Map and Directions
Authorized official contact:
Name: Lightbourn, Andrea C Doctor of Medicine (MD)
Phone: (248) 809-3530

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301048299 Michigan

Profile Details

NPI number 1720255987
LBN Legal business name Andrea C Lightbourn Md Pllc
DBA Doing business as
Authorized official Lightbourn, Andrea C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Feb 6th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720255987 NPPES
Michigan MEDICAID 4408457

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