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Andrea C Lightbourn MD Pllc

Specialist in Southfield, MI · enumerated 2008 · authorized official Andrea Lightbourn, Owner.

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

National Provider Identifier

1720255987

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Registry record

Entity type Organization (Type 2)
Legal business name Andrea C Lightbourn MD Pllc
Practice address 29600 Northwestern Hwy, 104, Southfield, MI, 48034
Fax (248) 327-6082
Enumeration date May 15, 2008
Last updated in NPPES Feb 6, 2014

Taxonomy & classification

174400000X Specialist Other Service Providers · License 4301048299 (MI) Primary

Authorized official

Name Andrea Lightbourn
Title Owner

Other identifiers

Identifier Type State Issuer
4408457 Medicaid MI -

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

Who is the authorized official for Andrea C Lightbourn MD Pllc?
NPPES lists Andrea Lightbourn (Owner) as the authorized official for this organization.
What is the NPI number for Andrea C Lightbourn MD Pllc?
The NPI for Andrea C Lightbourn MD Pllc is 1720255987, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-06.