Swan Dermatology Center, Pc

NPI 1194757518 - Dermatology - 207N00000X

NPI Details
NPI 1194757518
Enumeration Date 07/07/2006
Last Updated 05/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORI SIEGERT LORI
Position PRESIDENT
Phone (765) 446-0282
Fax (765) 446-8299
Practice Location
2020 UNION ST., SUITE 300
LAFAYETTE IN, 47904, US
Phone (765) 446-0282
Fax (765) 446-8299
Business Location
2020 UNION ST., SUITE 300
LAFAYETTE IN, 47904, US
Phone (765) 446-0282
Fax (765) 446-8299
Toxanomy
Taxonomy Code 207N00000X
License State Indiana
License Number 01042461
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According to our database, Swan Dermatology Center, Pc NPI is 1194757518, taxonomy code is 207N00000X and license number is 01042461, license state is located at Indiana. Swan Dermatology Center, Pc physically located at 2020 Union St., Suite 300, Lafayette IN, 47904. NPI Number 1033115704 has the healthcare provider type.

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1194757518 NPI number is provided on an as is basis without warranty of any kind. 1194757518 is maintained by the National Plan & Provider Enumeration System. The contents of Swan Dermatology Center, Pc are for informational purposes only.