Lake Dermatology Pa

LBN: Lake Dermatology Pa
Lake Dermatology Pa is an health care organization with primary practice located at 1132 E North Blvd , Leesburg FL 34748-5350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lake Dermatology Pa can be contacted via phone (352) 365-6650, or through Davis, Genevieve via phone (352) 365-6650.

Contact Information

Primary practice address
1132 E North Blvd Leesburg FL 34748-5350
Phone: (352) 365-6650
Fax: (352) 365-0932
Website:
Map and Directions
Authorized official contact:
Name: Davis, Genevieve
Phone: (352) 365-6650

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X ME64096 Florida

Profile Details

NPI number 1598843914
LBN Legal business name Lake Dermatology Pa
DBA Doing business as
Authorized official Davis, Genevieve
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Nov 8th, 2023 - about last year

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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