Rockford Dermatology Sc

NPI #1487751335 in Rockford, Illinois

Provider Information

NPI Number: 1487751335
Entity Type: Organization
Organization Name: Rockford Dermatology Sc
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2006
Last Updated: Feb 19, 2018

Practice Location

Address: 4338 MORSAY DR
City: Rockford
State: Illinois
ZIP Code: 61107-4877
Phone: (815) 399-6400

Authorized Official

Name: DR. LAKIMERLY MICHELLE COATES, MD
Title: PRESIDENT
Phone: (815) 399-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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