# SANFORD DERMATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hancock Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447619747
- **Authorized official:** LORI SANFORD M.D. (MANAGING MEMBER)
- **Authorized official phone:** (317) 460-1775

## Contact information

- **Practice address:** 400 W GREEN MEADOWS DR STE 110, GREENFIELD, IN 46140-3205
- **Practice address phone:** (317) 967-7921
- **Practice address fax:** (317) 967-7122
- **Mailing address:** 400 W GREEN MEADOWS DR STE 110, GREENFIELD, IN 46140-3205
- **Mailing address phone:** (317) 967-7921
- **Mailing address fax:** (317) 967-7122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01072559A | IN | Yes |

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 02/11/2020