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Lori Mackillop, NP
Adult Health Nurse Practitioner in Southfield, Michigan
NPI 1073535308

Lori Mackillop is an Adult Health Nurse Practitioner based in Southfield, MI and is specialized in Adult Health. Lori Mackillop practices in Southfield, MI and has the professional credentials of NP. The NPI Number for Lori Mackillop is 1073535308 and holds a License No. 4704140266 (Michigan).

The current practice location address for Lori Mackillop is 22255 Greenfield Rd Ste 350, Southfield, MI and can be reached out via phone at 248-849-2710 and via fax at 248-849-4024.

Location: 22255 Greenfield Rd Ste 350, Southfield, MI, 48075-3712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073535308
Provider Name
Lori Mackillop
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22255 Greenfield Rd Ste 350, Southfield, MI, 48075-3712
Phone Number
248-849-2710
Fax Number
248-849-4024
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110F324280 01 MI BCBS GROUP#
institution
Provider Business Practice Location Address Details
Address
22255 Greenfield Rd Ste 350
City
Southfield
State
Michigan
Zip
48075-3712
Phone Number
248-849-2710
Fax Number
248-849-4024
person
Provider Business Mailing Address Details
Address
22255 Greenfield Rd Ste 350
City
Southfield
State
Michigan
Zip
48075-3712
Phone Number
248-849-2710
Fax Number
248-849-4024
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
4704140266 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704140266 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
4704140266 (Michigan)
Definition
Definition to come...
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