NPI 1619904067 · live from the CMS NPI Registry
Lycia Corkran Thornburg, MD
Dermatology in Rapid City, SD. National Provider Identifier 1619904067, active.
NPI record
| NPI | 1619904067 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3535 5th St, Rapid City, SD 57701 |
| Practice phone | 605-301-2661 |
| Enumerated | June 28, 2006 |
| Last updated | May 28, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 5197 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.