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LORI MACKILLOP N.P.
NPI 1073535308
Nurse Practitioner - Adult Health in Southfield, MI

Active since July 24, 2006
22255 GREENFIELD RD STE 350, SOUTHFIELD, MI 48075(248) 849-2710(248) 849-4024 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2019, Jan 24, 2019 (2 updates tracked since 2019).

About Lori Mackillop N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI MACKILLOP N.P. (NPI 1073535308) is an individual adult health provider in Southfield, Michigan, licensed in Michigan (4704140266) and active in the NPI registry since July 2006. She maintains a secondary practice location in Rochester Hills.

NPPES Registry Identity

NPI1073535308
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORI MACKILLOPCredential: N.P.
Location Address22255 GREENFIELD RD STE 350Southfield, MI 48075-3712
Mailing Address22255 Greenfield Rd Ste 350Southfield, MI 48075-3712 · (248) 849-2710 · Fax (248) 849-4024
Phone(248) 849-2710
Fax(248) 849-4024
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 29, 20192 updates tracked since enumeration
✔ NPI 1073535308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704140266
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 4704140266 (MI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704140266 (MI)
22255 GREENFIELD RD STE 350, Southfield, MI 48075
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Other Names 1

Former Name (1)Lori Pearl N.p.

Secondary Practice Location 1

Location 1135 Barclay Cir, Suite 104Rochester Hills, MI 48307-4599 · Phone (248) 853-7270 · Fax (248) 853-7230

Other Identifiers 1

Other110F324280MI · Bcbs Group#

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADHAM ALSAMSAM MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
22255 GREENFIELD RD STE 350
SOUTHFIELD, MI 48075
Oakland County (248) 849-2710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Mackillop's NPI number?

The NPI number for Lori Mackillop is 1073535308. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as Lori Pearl N.P..

Where is Lori Mackillop located?

Lori Mackillop practices at 22255 Greenfield Rd Ste 350, Southfield, MI 48075. The listed phone number is (248) 849-2710.

What is Lori Mackillop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lori Mackillop was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.