Lamont Wallace Hornbeck in Roseville - Procedural Dermatology

Lamont Wallace Hornbeck - NPI 1871522664

Lamont Wallace Hornbeck is a Procedural Dermatology in Roseville, California. Lamont Wallace Hornbeck practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Lamont Wallace Hornbeck is 1871522664. The last update date is 2007-07-08.

Lamont Wallace Hornbeck's current location address is 729 Sunrise Ave, Roseville, California. You can contact this provider via phone number 9167823721 and fax number 9167820618. The mailing address for Lamont Wallace Hornbeck is 729 Sunrise Ave, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lamont Wallace Hornbeck
Address 729 Sunrise Ave, Roseville, California
Phone Number 9167823721
Fax Number 9167820618
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1871522664
Provider Enumeration Date 2006-07-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 729 Sunrise Ave
City Roseville
State California (CA)
Post Code 956614565
Phone Number 9167823721
Fax Number 9167820618

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No G0517340
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G517340 CA --

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FAQs about Lamont Wallace Hornbeck

What is the unique provider identifier assigned to Lamont Wallace Hornbeck?

The Lamont Wallace Hornbeck has been issued the NPI (National Provider Identifier) 1871522664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Lamont Wallace Hornbeck?

The Lamont Wallace Hornbeck is situated at 729 Sunrise Ave, in the city of Roseville, state of CA, with the zip code 956614565.

What is Lamont Wallace Hornbeck's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lamont Wallace Hornbeck's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.

When did the Lamont Wallace Hornbeck receive its 1871522664?

The Lamont Wallace Hornbeck was issued its 1871522664 on 2006-07-02, which is the date when the organization was assigned this unique identifier.

As of what date were the Lamont Wallace Hornbeck's details last updated?

The information pertaining to the Lamont Wallace Hornbeck, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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