Camden Dermatology & Mohs Surgery Llc

LBN: Camden Dermatology & Mohs Surgery Llc
Camden Dermatology & Mohs Surgery Llc is an health care organization with primary practice located at 195 Union St , Rockport ME 04856-6107. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Camden Dermatology & Mohs Surgery Llc can be contacted via phone (207) 706-5030, or through Lavigne, Kerry Allison via phone (207) 706-5030.

Contact Information

Primary practice address
195 Union St Rockport ME 04856-6107
Phone: (207) 706-5030
Fax: (207) 706-5030
Website:
Map and Directions
Authorized official contact:
Name: Lavigne, Kerry Allison MD FAAD FACMS
Phone: (207) 706-5030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1215440011
LBN Legal business name Camden Dermatology & Mohs Surgery Llc
DBA Doing business as
Authorized official Lavigne, Kerry Allison MD FAAD FACMS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2017
Last updated Oct 25th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215440011 NPPES
Maine MEDICAID 1215440011

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