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 is a Dermatology Physician 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
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

Other providers in South Lyon