Lou Anne Dick, D.O.
Individual provider Active NPI General Practice Physician · Perrinton, MI
NPI 1104144591 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1104144591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 5101007483 (MI)
- Practice address
- 4999 Skyline Dr
Perrinton, MI 48871-9671 - Phone
- (989) 682-4439
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007483 | MI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101007483 | MI | Yes |
Addresses
Primary practice location
4999 Skyline Dr
Perrinton, MI 48871-9671
Mailing address
4999 Skyline Dr
Perrinton, MI 48871-9671
Phone (989) 682-4439
Other providers in Perrinton, MI
- Theresa May Copeland
- Sarah Jane Dempsey
- Ralph L. Kendall Jr.
- Laurel Health Care Company of Perrinton
- Laurel Health Care Company of Perrinton
- Alicia Smolinski
- Marissa Struble
All providers in Perrinton, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.