Provider Demographics
NPI:1700496668
Name:SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC
Entity Type:Organization
Organization Name:SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC
Other - Org Name:COLORADO DERMATOLOGY SPECIALISTS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-831-0400
Mailing Address - Street 1:3540 S. POPLAR STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1364
Mailing Address - Country:US
Mailing Address - Phone:303-850-9715
Mailing Address - Fax:303-850-0649
Practice Address - Street 1:1960 N. OGDEN STREET
Practice Address - Street 2:SUITE 555
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3602
Practice Address - Country:US
Practice Address - Phone:303-831-0400
Practice Address - Fax:303-831-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty