Provider Demographics
NPI:1194940197
Name:LANORE P. NAJOR, PLLC
Entity type:Organization
Organization Name:LANORE P. NAJOR, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANORE
Authorized Official - Middle Name:P
Authorized Official - Last Name:NAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-646-8166
Mailing Address - Street 1:31815 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5471
Mailing Address - Country:US
Mailing Address - Phone:248-646-8166
Mailing Address - Fax:248-646-8176
Practice Address - Street 1:31815 SOUTHFIELD RD
Practice Address - Street 2:SUITE 12
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-5471
Practice Address - Country:US
Practice Address - Phone:248-646-8166
Practice Address - Fax:248-646-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N51430Medicare ID - Type Unspecified
MIF31057Medicare UPIN