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ANDREA C LIGHTBOURN MD PLLC
NPI 1720255987
Specialist in Southfield, MI

Active since May 15, 2008
29600 NORTHWESTERN HWY, 104, SOUTHFIELD, MI 48034(248) 809-3530(248) 327-6082 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea C Lightbourn Md Pllc NPPES

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

ANDREA C LIGHTBOURN MD PLLC (NPI 1720255987) is a healthcare organization registered as a specialist in Southfield, Michigan and active in the NPI registry since May 2008. The organization lists Andrea C Lightbourn, Owner, as its authorized official.

NPPES Registry Identity

NPI1720255987
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANDREA C LIGHTBOURN MD PLLC
Location Address29600 NORTHWESTERN HWY, 104Southfield, MI 48034-1016
Mailing Address29600 Northwestern Hwy, 104Southfield, MI 48034-1016 · (248) 809-3530 · Fax (248) 327-6082
Phone(248) 809-3530
Fax(248) 327-6082
Organization SubpartNo
Authorized OfficialAndrea C LightbournOwner · (248) 809-3530
Enumeration DateMay 15, 2008
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1720255987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301048299
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
29600 NORTHWESTERN HWY, Southfield, MI 48034
Open in Google Maps ↗

Other Identifiers 2

Medicaid4408457MI
Medicare PIN0N44020

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.

GEORGE A LIGHTBOURN MD PC
Urology
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Oakland County (248) 353-6599
NATIONAL OUTSOURCING SOLUTIONS
Home Health
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Oakland County (248) 352-8664
THE CHAIR
Counselor
29600 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Oakland County (313) 258-1809
ANDREA CELESTE LIGHTBOURN MD
Obstetrics & Gynecology
29600 NORTHWESTERN HWY, 104
SOUTHFIELD, MI 48034
Oakland County (248) 258-2332
MR. DAVID A BAKER MSW
Social Worker (Clinical)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 353-0050
DR. LEORA PNINA BAR-LEVAV M.D.
Counselor (Mental Health)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 353-0050
ULTRA DIAGNOSTIC SERVICES PC
Clinic/Center (Medical Specialty)
29600 NORTHWESTERN HWY, SUITE 106
SOUTHFIELD, MI 48034
Oakland County (313) 258-4855
GROUP PSYCHOTHERAPY, PC
Psychiatry & Neurology (Psychiatry)
29600 NORTHWESTERN HWY, 100B
SOUTHFIELD, MI 48034
Oakland County (248) 353-4818

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 Andrea C Lightbourn MD PLLC's NPI number?

The NPI number for Andrea C Lightbourn MD PLLC is 1720255987. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Andrea C Lightbourn MD PLLC located?

Andrea C Lightbourn MD PLLC is located at 29600 Northwestern Hwy 104, Southfield, MI 48034. The listed phone number is (248) 809-3530.

What is Andrea C Lightbourn MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Andrea C Lightbourn MD PLLC was last updated on February 6, 2014. 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.