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GEORGE A LIGHTBOURN MD PC NPI 1083887822


NPI Information

NPI: 1083887822
Provider Name: GEORGE A LIGHTBOURN MD PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
29600 NORTHWESTERN HWY
SUITE 104
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 353-6599
Get Directions

GEORGE A LIGHTBOURN MD PC is an urology in Southfield, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GEORGE A LIGHTBOURN MD PC NPI is 1083887822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29600 NORTHWESTERN HWY
SUITE 104
SOUTHFIELD, MI
ZIP 48034-016
Phone: (248) 353-6599
Fax: (248) 353-6566

The provider's authorized official is Geroge A Lightbourn .
The authorized official title is President and has the following contact phone number (248) 353-6599.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 12/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10825713MEDICARE PINMICHIGAN
23408257131OTHERBLUE CARE NETWORK
3B43977MEDICARE UPINMICHIGAN
4101346646MEDICAIDMICHIGAN
51123970001OTHERWELLNESS PLAN
63408257131OTHERBLUE CROSS BLUE SHIELD

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: 11/14/2023

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