Healthcare Provider Details
I. General information
NPI: 1710890157
Provider Name (Legal Business Name): LORI ANN MAKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9600 HILTON RD
BRIGHTON MI
48114-7510
US
IV. Provider business mailing address
1161 HUDSON DR
HOWELL MI
48843-6837
US
V. Phone/Fax
- Phone: 810-299-3950
- Fax:
- Phone: 586-212-8680
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: