George A Lightbourn Md Pc

NPI 1083887822 - Urology - 208800000X

NPI Details
NPI 1083887822
Enumeration Date 04/11/2008
Last Updated 12/11/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GEROGE A GEROGE
Position PRESIDENT
Phone (248) 353-6599
Fax (248) 353-6566
Practice Location
29600 NORTHWESTERN HWY
SUITE 104
SOUTHFIELD MI, 48034-1016, US
Phone (248) 353-6599
Fax (248) 353-6566
Business Location
PO BOX 937
SOUTHFIELD MI, 48037-0937, US
Phone (248) 353-6599
Fax (248) 353-6566
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, George A Lightbourn Md Pc NPI is 1083887822, taxonomy code is 208800000X George A Lightbourn Md Pc physically located at 29600 Northwestern Hwy, Southfield MI, 48034-1016. NPI Number 1033115704 has the healthcare provider type.

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1083887822 NPI number is provided on an as is basis without warranty of any kind. 1083887822 is maintained by the National Plan & Provider Enumeration System. The contents of George A Lightbourn Md Pc are for informational purposes only.