OrganizationActive
Andrea C Lightbourn MD PLLC
NPI 1720255987 · Specialist · Southfield, MI
Andrea C Lightbourn MD PLLC is a Specialist organization in Southfield, MI (NPI 1720255987).
Provider details
- NPI number
- 1720255987
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Lightbourn, Owner(248) 809-3530
- License
- 4301048299 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29600 Northwestern Hwy
104
Southfield, MI 48034-1016
Phone: (248) 809-3530
Fax: (248) 327-6082
Street-level locationGet directions
Mailing address
29600 Northwestern Hwy
Southfield, MI 48034-1016
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2014-02-06
Frequently asked questions
- What is Andrea C Lightbourn MD PLLC's NPI number?
- Andrea C Lightbourn MD PLLC's National Provider Identifier (NPI) is 1720255987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andrea C Lightbourn MD PLLC?
- Andrea C Lightbourn MD PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Andrea C Lightbourn MD PLLC located?
- Andrea C Lightbourn MD PLLC's practice location on file with NPPES is 29600 Northwestern Hwy, Southfield, MI 48034-1016.
- What is Andrea C Lightbourn MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Andrea C Lightbourn MD PLLC is (248) 809-3530.
- Who is the authorized official for Andrea C Lightbourn MD PLLC?
- The authorized official listed on Andrea C Lightbourn MD PLLC's NPPES record is Andrea Lightbourn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andrea C Lightbourn MD PLLC's NPI active?
- Yes — Andrea C Lightbourn MD PLLC's NPI (1720255987) is active in the NPPES registry as of the last update on 2014-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.