IndividualActive
Lorien Shack, MD
NPI 1164710406 · Addiction Medicine (Internal Medicine) Physician · Ypsilanti, MI
Provider details
- NPI number
- 1164710406
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301099212 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5333 Mcauley Dr. Suite 5011
Ypsilanti, MI 48197
Phone: (734) 712-8700
Fax: (734) 622-5017
Approximate (ZIP-level) locationGet directions
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Registry dates
- Enumerated
- 2011-07-20
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.