LORI MACKILLOP N.P. NPI 1073535308

NPI Information

  • NPI: 1073535308
  • Provider Name: LORI MACKILLOP, N.P.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22255 GREENFIELD RD STE 350
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 849-2710

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NPI Details

Lori Mackillop, N.P. is an adult health nurse practitioner in Southfield, MI. Lori Mackillop, N.P. NPI is 1073535308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22255 GREENFIELD RD STE 350
SOUTHFIELD, MI
ZIP 48075-712
Phone: (248) 849-2710
Fax: (248) 849-4024

The NPI 1073535308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 1/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator4704140266MICHIGANNo
2363L00000XNurse Practitioner4704140266MICHIGANNo
3363LA2200XNurse PractitionerAdult Health4704140266MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110F324280OTHERMICHIGANBCBS GROUP#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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