Individual
DR. LAKIMERLY MICHELLE COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4338 MORSAY DR, ROCKFORD, IL 61107-4877
(815) 399-6400
(815) 399-4424
Mailing address
4338 MORSAY DR, ROCKFORD, IL 61107-4877
(815) 399-6400
(815) 399-4424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036102903
IL
207N00000X
Dermatology Physician
C199443
CA
207ND0101X
MOHS-Micrographic Surgery Physician
036102903
IL
207ND0900X
Dermatopathology Physician
036102903
IL
207NS0135X
Procedural Dermatology Physician
036102903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102903
—
IL
01
—
10132043
BCBS
IL
01
—
14D1043269
CLIA
IL
Enumeration date
11/21/2005
Last updated
03/11/2025
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