Individual
DR. LORIEN PATRICE SHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5333 MCAULEY DR. SUITE 5011, YPSILANTI, MI 48197
(734) 712-8700
(734) 622-5017
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301099212
MI
2083P0901X
Public Health & General Preventive Medicine Physician
4301099212
MI
208D00000X
General Practice Physician
4301099212
MI
Other
Enumeration date
07/20/2011
Last updated
02/24/2026
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