Individual provider · Type 1 NPI

Lucy Nelson Wisdom, MD

Dermatology Physician · Bloomington, IL

NPI number 1669510400 Active

Practice location

1404 Eastland Drive, Suite 204
Bloomington, IL 61701

Call (309) 662-8813 Map

Fax (309) 662-6835

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X036110740 (IL)

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…

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About NPI 1669510400

Lucy Nelson Wisdom, MD's National Provider Identifier is 1669510400, issued on Feb 2, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.