Organization
PHYSICIANS DERMPATH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A. LORBER MD (PRESIDENT)
(847) 675-9711
Entity
Organization
Contact information
Practice address
1420 N. RENAISSANCE DR., SUITE 204, PARK RIDGE, IL 60068-1330
(847) 768-2440
(847) 768-2443
Mailing address
1420 N. RENAISSANCE DR., SUITE 204, PARK RIDGE, IL 60068-1330
(847) 768-2440
(847) 768-2443
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
11/09/2010
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