GEORGE A LIGHTBOURN MD PC
NPI 1083887822
Urology in Southfield, MI

Active since April 11, 2008
29600 NORTHWESTERN HWY, SUITE 104, SOUTHFIELD, MI 48034(248) 353-6599(248) 353-6566 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About George A Lightbourn Md Pc NPPES

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

GEORGE A LIGHTBOURN MD PC (NPI 1083887822) is a healthcare organization registered as an urology in Southfield, Michigan and active in the NPI registry since April 2008. The organization lists Geroge A Lightbourn, President, as its authorized official.

NPPES Registry Identity

NPI1083887822
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGE A LIGHTBOURN MD PC
Location Address29600 NORTHWESTERN HWY, SUITE 104Southfield, MI 48034-1016
Mailing AddressPo Box 937Southfield, MI 48037-0937 · (248) 353-6599 · Fax (248) 353-6566
Fax(248) 353-6566
Organization SubpartNo
Authorized OfficialGeroge A LightbournPresident · (248) 353-6599
Enumeration DateApril 11, 2008
Last NPPES UpdateDecember 11, 2013
NPI 1083887822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
29600 NORTHWESTERN HWY, Southfield, MI 48034

Other Identifiers 6

Medicare PIN0825713MI
Other3408257131Blue Care Network
Medicare UPINB43977MI
Medicaid101346646MI
Other1123970001Wellness Plan
Other3408257131Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Home Health
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Counselor
29600 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
29600 NORTHWESTERN HWY, 104
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Counselor (Mental Health)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Clinic/Center (Medical Specialty)
29600 NORTHWESTERN HWY, SUITE 106
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Psychiatry)
29600 NORTHWESTERN HWY, 100B
SOUTHFIELD, MI 48034
Nurse Practitioner (Psychiatric/Mental Health)
29600 NORTHWESTERN HWY
SOUTHFIELD, MI 48034

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 George A Lightbourn MD PC's NPI number?

The NPI number for George A Lightbourn MD PC is 1083887822. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is George A Lightbourn MD PC located?

George A Lightbourn MD PC is located at 29600 Northwestern Hwy Suite 104, Southfield, MI 48034. The listed phone number is (248) 353-6599.

What is George A Lightbourn MD PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for George A Lightbourn MD PC was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.