Organization Active NPI

Lillian Marzouq, M.D. P.C.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1013193788
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LM063324 Issued in MI
Legal business name
LILLIAN MARZOUQ, M.D. P.C.
Practice address
145 Rochdale Dr S
Suite B
Rochester Hills, MI 48309-2275
Phone
(248) 652-1560
Fax
(248) 652-1591
NPI assigned
Jan 12, 2008
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lillian Marzouq, M.D.NPI 1932199452
Title
Owner
Phone
(248) 652-1560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LM063324 MI Primary

Addresses

Primary practice location

145 Rochdale Dr S
Suite B
Rochester Hills, MI 48309-2275

Mailing address

49614 Crusader Dr
Macomb, MI 48044-1736
Phone (248) 763-2316

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1013193788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49614 CRUSADER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441736",
            "telephone_number": "248-763-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "address_2": "SUITE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-652-1560",
            "fax_number": "248-652-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN MARZOUQ, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "MARZOUQ",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-652-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LM063324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.