Organization
SANFORD DERMATOLOGY
Active
Other names
Hancock Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SANFORD M.D. (MANAGING MEMBER)
(317) 460-1775
Entity
Organization
Contact information
Practice address
400 W GREEN MEADOWS DR STE 110, GREENFIELD, IN 46140-3205
(317) 967-7921
(317) 967-7122
Mailing address
400 W GREEN MEADOWS DR STE 110, GREENFIELD, IN 46140-3205
(317) 967-7921
(317) 967-7122
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01072559A
IN
Other
Enumeration date
02/15/2016
Last updated
02/11/2020
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