Organization
SHINING LIGHT OSTEOPATHIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN DILLARD DO (OWNER/PHYSICIAN)
(586) 799-7682
Entity
Organization
Contact information
Practice address
15300 21 MILE RD STE 3, MACOMB, MI 48044-5024
(586) 799-7682
(586) 799-7827
Mailing address
15300 21 MILE RD STE 3, MACOMB, MI 48044-5024
(586) 799-7682
(586) 799-7827
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5101014290
MI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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