Individual
LISA M DORSEY-BORNFREEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E STATE ST, ROCKFORD, IL 61104-1012
(815) 668-7810
(815) 714-6219
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(815) 668-7810
(815) 714-6219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C55075
CA
207Q00000X
Family Medicine Physician
Primary
036107059
IL
207Q00000X
Family Medicine Physician
272825
NY
207Q00000X
Family Medicine Physician
C55075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.107059
—
IL
05
—
03850406
—
NY
Enumeration date
02/20/2009
Last updated
02/10/2026
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