Coates, Lakimerly Michelle
Coates, Lakimerly Michelle is an sole proprietor health care provider with primary practice located at 4338 Morsay Dr , Rockford IL 61107-4877. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Coates, Lakimerly Michelle can be contacted via phone (815) 399-6400.Contact Information
Primary practice address
4338 Morsay Dr
Rockford IL 61107-4877
Phone: (815) 399-6400
Fax: (815) 399-4424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036102903 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036102903 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 036102903 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036102903 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036102903 | Illinois |
Profile Details
| NPI number | 1871576264 |
|---|---|
| LBN Legal business name | Coates, Lakimerly Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Feb 19th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871576264 | NPPES |
| Illinois | Other | 14D1043269 | CLIA |
| Illinois | Other | 10132043 | CLIA |
| Illinois | MEDICAID | 036102903 | CLIA |
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