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George A Lightbourn MD PC

Urology Physician in Southfield, MI · enumerated 2008 · authorized official Geroge Lightbourn, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083887822

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Registry record

Entity type Organization (Type 2)
Legal business name George A Lightbourn MD PC
Practice address 29600 Northwestern Hwy, Suite 104, Southfield, MI, 48034
Fax (248) 353-6566
Enumeration date Apr 11, 2008
Last updated in NPPES Dec 11, 2013

Taxonomy & classification

208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Geroge Lightbourn
Title President

Other identifiers

Identifier Type State Issuer
101346646 Medicaid MI -
3408257131 Other - BLUE CROSS BLUE SHIELD
1123970001 Other - WELLNESS PLAN
3408257131 Other - BLUE CARE NETWORK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for George A Lightbourn MD PC?
The NPI for George A Lightbourn MD PC is 1083887822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for George A Lightbourn MD PC?
NPPES lists Geroge Lightbourn (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-11.