Individual provider · Type 1 NPI

Lily Park, DO

Dermatology Physician · Modesto, CA

NPI number 1124333455 Active

Practice location

600 Coffee Rd
Modesto, CA 95355-4201

Call (209) 521-6097 Map

Mailing address

3105 Cedar Ravine Rd, Ste 201
Placerville, CA 95667-6561

Other practice locations

  • 375 SE Norton Ln Ste C, Mcminnville, OR 97128-8484 · (503) 362-8385
  • 600 Coffee Rd, Modesto, CA 95355-4201 · (209) 521-6097
  • 1390 Waverly Dr SE, Albany, OR 97322-6958 · (503) 362-8385

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X20A12765 (CA)
Internal Medicine Physician 207R00000X5101018747 (MI)
Internal Medicine Physician 207R00000XDO184048 (OR)
Hospitalist Physician 208M00000X20A12765 (CA)
Dermatology Physician Primary 207N00000X12765 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

307 other providers at this address

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About NPI 1124333455

Lily Park, DO's National Provider Identifier is 1124333455, issued on Aug 11, 2010. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 8, 2024.