OrganizationActive
Lori Fedoronko M D P C
NPI 1265633416 · Procedural Dermatology Physician · Troy, MI
Provider details
- NPI number
- 1265633416
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lori Fedoronko, President
- License
- LF064064 (MI)
Mailing address
1350 Kirts Blvd
Troy, MI 48084-4851
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2016-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.