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Dr. Lorien Shack, MD
Addiction Medicine (Internal Medicine) Physician in Ypsilanti, Michigan
NPI 1164710406

Lorien Shack is an Addiction Medicine (Internal Medicine) Physician based in Ann Arbor, MI and is specialized in Addiction Medicine. Lorien Shack practices in Ypsilanti, MI and has the professional credentials of MD. The NPI Number for Lorien Shack is 1164710406 and holds a License No. 4301099212 (Michigan).

The current practice location address for Lorien Shack is 5333 Mcauley Dr. Suite 5011, Ypsilanti, MI and can be reached out via phone at 734-712-8700 and via fax at 734-622-5017.

Location: 5333 Mcauley Dr. Suite 5011, Ypsilanti, MI, 48105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164710406
Provider Name
Lorien Shack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5333 Mcauley Dr. Suite 5011, Ypsilanti, MI, 48105
Phone Number
734-712-8700
Fax Number
734-622-5017
Provider Enumeration Date
07/20/2011
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
5333 Mcauley Dr. Suite 5011
City
Ypsilanti
State
Michigan
Zip
48197
Phone Number
734-712-8700
Fax Number
734-622-5017
person
Provider Business Mailing Address Details
Address
5333 Mcauley Dr. Suite 5011
City
Ypsilanti
State
Michigan
Zip
48197
Phone Number
734-712-8700
Fax Number
734-622-5017
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
4301099212 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
2083P0901X
License No.
4301099212 (Michigan)
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301099212 (Michigan)
Definition
Definition to come...
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