George A Lightbourn Md Pc

LBN: George A Lightbourn Md Pc
George A Lightbourn Md Pc is an health care organization with primary practice located at 29600 Northwestern Hwy Suite 104, Southfield MI 48034-1016. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. George A Lightbourn Md Pc can be contacted via phone (248) 353-6599, or through Lightbourn, Geroge A via phone (248) 353-6599.

Contact Information

Primary practice address
29600 Northwestern Hwy Suite 104 Southfield MI 48034-1016
Phone: (248) 353-6599
Fax: (248) 353-6566
Website:
Map and Directions
Authorized official contact:
Name: Lightbourn, Geroge A Doctor of Medicine (MD)
Phone: (248) 353-6599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1083887822
LBN Legal business name George A Lightbourn Md Pc
DBA Doing business as
Authorized official Lightbourn, Geroge A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Dec 11th, 2013 - 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 1083887822 NPPES
Michigan MEDICAID 101346646
Michigan Other 3408257131
Michigan Other 1123970001
Michigan Other 3408257131

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