# SHINING LIGHT OSTEOPATHIC CARE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669975678
- **Authorized official:** LORI ANN DILLARD DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (586) 799-7682

## Contact information

- **Practice address:** 15300 21 MILE RD STE 3, MACOMB, MI 48044-5024
- **Practice address phone:** (586) 799-7682
- **Practice address fax:** (586) 799-7827
- **Mailing address:** 15300 21 MILE RD STE 3, MACOMB, MI 48044-5024
- **Mailing address phone:** (586) 799-7682
- **Mailing address fax:** (586) 799-7827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5101014290 | MI | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018