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

Lorien Shack is an Addiction Medicine (Preventive Medicine) Physician based in Ypsilanti, 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 555 Towner St, Ypsilanti, MI and can be reached out via phone at 734-544-3050 and via fax at 734-544-6732. You can also correspond with Lorien Shack through the mailing address at 555 TOWNER ST, YPSILANTI, MI - 48198-5723 (mailing address contact number: 734-544-3050).

Location: 555 Towner St, Ypsilanti, MI, 48198-5723
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
555 Towner St, Ypsilanti, MI, 48198-5723
Phone Number
734-544-3050
Fax Number
734-544-6732
Provider Enumeration Date
07/20/2011
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
555 Towner St
City
Ypsilanti
State
Michigan
Zip
48198-5723
Phone Number
734-544-3050
Fax Number
734-544-6732
person
Provider Business Mailing Address Details
Address
555 Towner St
City
Ypsilanti
State
Michigan
Zip
48198-5723
Phone Number
734-544-3050
Fax Number
734-544-6732
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
4301099212 (Michigan)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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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