Search › Michigan › 207RA0401X
Lorien Shack, MD
NPI 1164710406 · on the registry since 2011
Practice
- Address
- 5333 Mcauley Dr. Suite 5011
Ypsilanti, MI 48197 - Phone
- (734) 712-8700
- Fax
- (734) 622-5017
- Organisation at this address
- Donna J Tal Md Pc
Retinal Specialists Pc
Trinity Health-Michigan
St Joseph Mercy Hospital
St Joseph Mercy HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 480
Registry record
- Primary taxonomy
- 207RA0401X
207RA0401X
- Also registered as
- 208D00000X
2083P0901X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan