Organization
COMMONWEALTH DERMATOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE C SEDORIS (ADM ASSISTANT)
(859) 276-0191
Entity
Organization
Contact information
Practice address
2351 HUGUENARD DR, STE 200, LEXINGTON, KY 40503-3022
(859) 276-0191
(859) 277-0466
Mailing address
2351 HUGUENARD DR, STE 200, LEXINGTON, KY 40503-3022
(859) 276-0191
(859) 277-0466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
KY
Other
Enumeration date
06/27/2005
Last updated
07/21/2022
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