| Lori Siegert Swan, MD | |
|
2020 Union St, Suite 300, Lafayette, IN 47904 | |
| (765) 446-0282 | |
| (765) 446-8299 |
| Full Name | Lori Siegert Swan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2020 Union St, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518044601 | NPI | - | NPPES |
| 070008454 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01042461 (Indiana) | Primary |
| Entity Name | The Dermatology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780617860 PECOS PAC ID: 6406740141 Enrollment ID: O20190710002447 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Siegert Swan, MD 2020 Union St, Suite 300, Lafayette, IN 47904 Ph: (765) 446-0282 | Lori Siegert Swan, MD 2020 Union St, Suite 300, Lafayette, IN 47904 Ph: (765) 446-0282 |
Gary P Dillon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7029 | |
Mark Adrian Lake, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 Executive Dr, Suite 4, Lafayette, IN 47905 Phone: 765-838-3428 Fax: 765-838-3440 | |
Raymond Kuwahara, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8335 | |
Patricia M Dymek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Tamzin A Rosenwasser, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Joseph Edward Fruland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-446-7029 |