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

Individual provider Dermatology Physician · NPI 1548250855

Dr. Lori Marcum Fedoronko is a Dermatology in Troy, Michigan. Graduated from Wayne State University School of Medicine in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
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Practice location Address checks out

1350 Kirts Blvd Ste 155
Troy, MI 48084-4851
Phone: (248) 362-0222
Fax: (248) 362-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301064064 (MI)

Record details

NPI number1548250855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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