Commonwealth Dermatology Psc

NPI #1477559128 in Lexington, Kentucky

Provider Information

NPI Number: 1477559128
Entity Type: Organization
Organization Name: Commonwealth Dermatology Psc
Primary Specialty: Dermatology
Enumeration Date: Jun 27, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 2351 HUGUENARD DR
Address 2: STE 200
City: Lexington
State: Kentucky
ZIP Code: 40503-3022
Phone: (859) 276-0191

Authorized Official

Name: MRS. DIANE C SEDORIS
Title: ADM ASSISTANT
Phone: (859) 276-0191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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