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Andrea C Lightbourn Md Pllc
Specialist in Southfield, Michigan
NPI 1720255987

Andrea C Lightbourn Md Pllc is a Specialist based in Southfield, MI. Andrea C Lightbourn Md Pllc practices in Southfield, MI. The NPI Number for Andrea C Lightbourn Md Pllc is 1720255987 and holds a License No. 4301048299 (Michigan).

The current practice location address for Andrea C Lightbourn Md Pllc is 29600 Northwestern Hwy, Southfield, MI and can be reached out via phone at 248-809-3530 and via fax at 248-327-6082.

Location: 29600 Northwestern Hwy, Southfield, MI, 48034-1016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720255987
Provider Name
Andrea C Lightbourn Md Pllc
Credential
Provider Entity Type
Organization
Address
29600 Northwestern Hwy, Southfield, MI, 48034-1016
Phone Number
248-809-3530
Fax Number
248-327-6082
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4408457 05 MI
institution
Provider Business Practice Location Address Details
Address
29600 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48034-1016
Phone Number
248-809-3530
Fax Number
248-327-6082
person
Provider Business Mailing Address Details
Address
29600 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48034-1016
Phone Number
248-809-3530
Fax Number
248-327-6082
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301048299 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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