DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LORIEN PATRICE SHACK, MD

Active

DR. LORIEN PATRICE SHACK, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in YPSILANTI, Michigan. NPI 1164710406 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · YPSILANTI, MI

Registration Details

NPI Number
1164710406
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2011 (15.072717168315 yrs)
Last Updated
Feb 24, 2026
Licenses
4301099212 (MI)
4301099212 (MI)
4301099212 (MI)

Practice Information

Address
5333 MCAULEY DR. SUITE 5011
YPSILANTI, MI, 48197
Browse MI providers · Browse ZIP 48197
Phone
7347128700
Fax
7346225017
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X

Other Addiction Medicine (Internal Medicine) Providers in YPSILANTI, MI

Name Credential NPI
MARK A WEINER MD 1669590352
MR. BRENDAN SULLIVAN 1023540853
GHAZALA MANSOORA KHAN M.D. 1669905295
MORGAN MURDOCK CNP 1003488537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.