Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Lyon Dermatology, PC

Organization Dermatology Physician · NPI 1407233323

South Lyon Dermatology, PC provides Dermatology Physician services in South Lyon, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26036 Pontiac Trl
South Lyon, MI 48178-8050 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 479-2200
Fax: (248) 479-2682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1407233323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Clay — Authorized Rep/Owner · (248) 479-2200
NPI enumeratedApril 29, 2015
Last updated in NPPESJuly 16, 2015
Mailing address26036 Pontiac Trl, South Lyon, MI 48178-8050

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