Lakeside Dermatology , Pa

LBN: Lakeside Dermatology , Pa
Lakeside Dermatology , Pa is an health care organization with primary practice located at 19900 W Catawba Ave Suite B, Cornelius NC 28031-4032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lakeside Dermatology , Pa can be contacted via phone (704) 892-4878, or through Astle, Nancy J via phone (704) 892-4878.

Contact Information

Primary practice address
19900 W Catawba Ave Suite B Cornelius NC 28031-4032
Phone: (704) 892-4878
Fax: (704) 892-7453
Website:
Map and Directions
Authorized official contact:
Name: Astle, Nancy J Doctor of Medicine (MD)
Phone: (704) 892-4878

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9400198 North Carolina

Profile Details

NPI number 1619973054
LBN Legal business name Lakeside Dermatology , Pa
DBA Doing business as
Authorized official Astle, Nancy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 23rd, 2011 - about 15 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 1619973054 NPPES
North Carolina Other 01056 BCBS
North Carolina Other CA0767 BCBS
North Carolina Other E82914 BCBS

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