Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

South Lyon Dermatology, PC

Dermatology Physician in South Lyon, MI · enumerated 2015 · authorized official Angela Clay, Authorized Rep/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407233323

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Registry record

Entity type Organization (Type 2)

Legal business name South Lyon Dermatology, PC

Practice address 26036 Pontiac Trl, South Lyon, MI, 48178

Phone (248) 479-2200

Fax (248) 479-2682

Enumeration date Apr 29, 2015

Last updated in NPPES Jul 16, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Angela Clay

Title Authorized Rep/Owner

Phone (248) 479-2200

Other identifiers

Identifier	Type	State	Issuer
1407233323	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-16. Verify at npiregistry.cms.hhs.gov.

Where is South Lyon Dermatology, PC located?

The practice location on file with NPPES is in South Lyon, MI.

Providers at this address

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Angela Clay Dermatology Physician · South Lyon, MI NPI 1669609871 Alexandrea Bedirian Medical Physician Assistant · South Lyon, MI NPI 1629735287

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-16.