Lake Dermatology Inc. in Lafayette - Dermatology
Lake Dermatology Inc. - NPI 1689898447
Lake Dermatology Inc. is a Dermatology in Lafayette, Indiana. Lake Dermatology Inc. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lake Dermatology Inc. is 1689898447. The last update date is 2008-11-13.
Lake Dermatology Inc.'s current location address is 15 Executive Dr, Lafayette, Indiana. You can contact this provider via phone number 7658383428 and fax number 7658383440. The mailing address for Lake Dermatology Inc. is 15 Executive Dr, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Dermatology Inc. |
|---|---|
| Address | 15 Executive Dr, Lafayette, Indiana |
| Phone Number | 7658383428 |
| Fax Number | 7658383440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lake Adrian Mark |
| Credentials | M.D. |
| Telephone Number | 7655383508 |
NPI Number Detail
| NPI Number | 1689898447 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | 15 Executive Dr |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479053833 |
| Phone Number | 7658383428 |
| Fax Number | 7658383440 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01055166A |
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Definition: 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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lake Dermatology Inc.?
The Lake Dermatology Inc. has been issued the NPI (National Provider Identifier) 1689898447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lake Dermatology Inc. is physically located?
The Lake Dermatology Inc. is situated at the following address: 15 Executive Dr, Lafayette, IN 479053833.
What is Lake Dermatology Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake Dermatology Inc. is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Lake Dermatology Inc. receive its 1689898447 assignment from the Centers for Medicare & Medicaid Services?
The Lake Dermatology Inc. was assigned its 1689898447 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the details pertaining to Lake Dermatology Inc. last refreshed?
The information related to the Lake Dermatology Inc., including its address, specialty, and other relevant details, was last updated on 2008-11-13.