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

Dr. Lorien Patrice Shack, MD

Individual provider General Practice Physician · NPI 1164710406

Dr. Lorien Patrice Shack, MD is an Addiction Medicine in Ypsilanti, Michigan. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5333 McAuley Dr Ste 5011
Ypsilanti, MI 48197
Phone: (734) 712-8700
Fax: (734) 622-5017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 4301099212 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301099212 (MI)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 4301099212 (MI)

Record details

NPI number1164710406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyADDICTION MEDICINE
Also practisesPREVENTIVE MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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