Lori A. Dillard, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

5101014290 Issued in MI

Practice address

15300 21 Mile Rd Ste 3
Macomb, MI 48044

Phone

(586) 799-7682

Fax

(586) 799-7827

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1609825645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 21 MILE RD STE 3",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445024",
            "telephone_number": "586-799-7682",
            "fax_number": "586-799-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 21 MILE RD STE 3",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-799-7682",
            "fax_number": "586-799-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Harrington Blvd.",
            "address_2": "Ste. 206",
            "address_purpose": "LOCATION",
            "city": "Mt. Clemens",
            "state": "MI",
            "postal_code": "480432967",
            "country_code": "US",
            "telephone_number": "586-493-3260",
            "fax_number": "586-493-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "LORI",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101014290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Demsich, RPH
• Jaron Deshazor
• Ajay Dewan
• Robyn R Dicristofaro
• Christine Dietz
• Russell Dimaggio, PTA
• Paolo Dimaria, DPT
• Sonal Christina Diora, DDS
• Candie Marie Djurasaj, PTA
• Jason M Donaghue, M.D.

• Neuromusculoskeletal Medicine & OMM Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.