Healthcare Provider Details

I. General information

NPI: 1770499287
Provider Name (Legal Business Name): LIZBETH OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26184 OUTER DR
LINCOLN PARK MI
48146-2084
US

IV. Provider business mailing address

947 HARRISON BLVD
LINCOLN PARK MI
48146-4217
US

V. Phone/Fax

Practice location:
  • Phone: 734-838-9316
  • Fax:
Mailing address:
  • Phone: 630-359-7955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: