LAKESIDE DERMATOLOGY , PA

Dermatology

Active Organization
NPI: 1619973054

Practice Address

19900 W CATAWBA AVE
SUITE B
Cornelius, NC 28031

Phone: (704) 892-4878

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 9400198 (NC)

Frequently Asked Questions

NPI 1619973054 is the National Provider Identifier for LAKESIDE DERMATOLOGY , PA, a Dermatology provider located in Cornelius, NC. This NPI was enumerated on June 21, 2005.

Quick Facts

NPI
1619973054
Type
Organization
Enumerated
Jun 21, 2005
Last Updated
Mar 23, 2011

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