Individual provider · Type 1 NPI
Lori Mackillop, N.P.
Adult Health Nurse Practitioner · Southfield, MI
NPI number
1073535308
Active
Practice location
22255 Greenfield Rd Ste 350
Southfield, MI 48075-3712
Fax (248) 849-4024
Other practice locations
- 135 Barclay Cir, Suite 104, Rochester Hills, MI 48307-4599 · (248) 853-7270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704140266 (MI) |
| Diabetes Educator Registered Nurse | 163WD0400X | 4704140266 (MI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704140266 (MI) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1073535308
Lori Mackillop, N.P.'s National Provider Identifier is 1073535308, issued on Jul 24, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Southfield, MI. The record was last updated on Jan 29, 2019.