Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea C Lightbourn MD PLLC

Organization Specialist · NPI 1720255987

Andrea C Lightbourn MD PLLC is a Specialist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29600 Northwestern Hwy 104
Southfield, MI 48034-1016
Phone: (248) 809-3530
Fax: (248) 327-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301048299 (MI)

Record details

NPI number1720255987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Lightbourn — Owner · (248) 809-3530
NPI enumeratedMay 15, 2008
Last updated in NPPESFebruary 6, 2014
Mailing address29600 Northwestern Hwy, 104, Southfield, MI 48034-1016

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