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Contact Information

LAKES DERMATOLOGY, PLLC
2704 ENTERPRISE AVE
SPIRIT LAKE, IA51360
 Phone: 712-336-2728
 Fax: 712-336-2842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAKES DERMATOLOGY, PLLC

NPI Number 1194186833
LBN Legal business name LAKES DERMATOLOGY, PLLC
Authorized official CRYSTAL MEYER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2016
Last updated 12/21/2022 - About 3 years ago
Identifiers
IA License # A-118055
IA Other 1841548161 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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