Colorado Dermatology Group, Pllc

NPI #1144776238 in Fort Collins, Colorado

Provider Information

NPI Number: 1144776238
Entity Type: Organization
Organization Name: Colorado Dermatology Group, Pllc
Primary Specialty: Dermatology
Enumeration Date: Aug 29, 2016
Last Updated: Oct 21, 2020

Practice Location

Address: 3609 S TIMBERLINE RD UNIT A
City: Fort Collins
State: Colorado
ZIP Code: 80525-3430
Phone: (888) 884-6776

Authorized Official

Name: DR. JOSEPH V LILLIS, M.D.
Title: OWNER
Phone: (888) 884-6776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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