Integra Dermatology Pa

LBN: Integra Dermatology Pa
Integra Dermatology Pa is an health care organization with primary practice located at 7373 France Ave S Ste 510 , Edina MN 55435-4551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Integra Dermatology Pa can be contacted via phone (612) 767-6000, or through Lam, Mimi via phone (612) 767-6000.

Contact Information

Primary practice address
7373 France Ave S Ste 510 Edina MN 55435-4551
Phone: (612) 767-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lam, Mimi Doctor of Medicine (MD)
Phone: (612) 767-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1944 Minnesota

Profile Details

NPI number 1366820136
LBN Legal business name Integra Dermatology Pa
DBA Doing business as
Authorized official Lam, Mimi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated Jun 22nd, 2021 - about 4 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 1366820136 NPPES
Minnesota Other 1944 MN STATE LICENSE

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