Greenbrae Dermatology, A Medical Corporation

LBN: Greenbrae Dermatology, A Medical Corporation
Greenbrae Dermatology, A Medical Corporation is an health care organization with primary practice located at 1300 S Eliseo Dr Ste 207 , Greenbrae CA 94904-2015. 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 / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Greenbrae Dermatology, A Medical Corporation can be contacted via phone (415) 925-0550, or through Lewitt, Lucretia Ann via phone (415) 925-0550.

Contact Information

Primary practice address
1300 S Eliseo Dr Ste 207 Greenbrae CA 94904-2015
Phone: (415) 925-0550
Fax: (415) 925-9062
Website:
Map and Directions
Authorized official contact:
Name: Lewitt, Lucretia Ann
Phone: (415) 925-0550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G53455 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A97783 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G40606 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A97783 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G53455 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X A97783 California
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X G53455 California
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X A97783 California
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X G40606 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G53455 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A97783 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G40606 California

Profile Details

NPI number 1174898654
LBN Legal business name Greenbrae Dermatology, A Medical Corporation
DBA Doing business as
Authorized official Lewitt, Lucretia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2012
Last updated Jun 30th, 2015 - about 10 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.

Request for update

Popular Providers