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

Dr. Maisee Katelyn Lor, DO

Individual provider Family Medicine Physician · NPI 1639551229

Dr. Maisee Katelyn Lor, DO is a Family Practice in Southfield, Michigan. Graduated from Oklahoma State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Phone: (248) 849-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101021939 (MI)

Record details

NPI number1639551229
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015
Mailing address22250 Providence Dr Ste 500, Southfield, MI 48075-6213

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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