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NPI Profile for Dr LORIEN P SHACK in YPSILANTI, MI.
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Public Health & General Preventive Medicine |
2083P0901X | 84 | Physician/Preventive Medicine |
| NPI # | 1164710406 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/20/2011 | |
| Last updated | 02/24/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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LORIEN P SHACK
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LORIEN P SHACK, MD