Andrea C Lightbourn (NPI# 1245264209, PAC ID# 2668532169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1245264209 |
| PAC ID by PECOS | 2668532169 |
| Professional Enrollment ID | I20081113000343 |
| Full Name | Andrea C Lightbourn |
| Address |
29600 Northwestern Hwy Suite 104 Southfield MI 48034-1016 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 |
| Street Address |
29600 NORTHWESTERN HWY SUITE 104 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48034-1016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Korial Jerjies Atty | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Bruce E West | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Lisa L Cardwell | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| George A Lightbourn | Urology | 29600 Northwestern Hwy 104, Southfield, MI 48034-1016 | |
| Rashmi Gupta | Neurology | 29592 Northwestern Hwy, Rashmi Gupta Md Sc, Southfield, MI 48034-1019 | |
| Annie Agbor Arrey-mensah | Allergy/immunology | 29355 Northwestern Hwy, Suite 300, Southfield, MI 48034-1045 | |
| Mary M Hillebrand | Psychologist, Clinical | 27288 Apple Blossom Ln, Southfield, MI 48034-1048 | |
| Daneen Heather Locke | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Lisa Marie Pilley | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Jenny Pateryn | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Find all physicians in zip 48034 | |||
| City | SOUTHFIELD |
| Zip Code | 48034 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SOUTHFIELD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Andrea C Lightbourn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.