Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUMEN DERMATOLOGY LLC
NPI 1235938341
Dermatology in Lady Lake, FL

Active since March 11, 2025
781 HIGHWAY 466, LADY LAKE, FL 32159(352) 830-1500(352) 830-1501 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Mar 16, 2025 (2 updates tracked since 2025).

About Lumen Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMEN DERMATOLOGY LLC (NPI 1235938341) is a healthcare organization registered as a dermatology in Lady Lake, Florida and active in the NPI registry since March 2025. The organization lists David J Kosiorek, President, as its authorized official.

NPPES Registry Identity

NPI1235938341
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLUMEN DERMATOLOGY LLC
Location Address781 HIGHWAY 466Lady Lake, FL 32159-6340
Mailing Address4365 Se 15th AveOcala, FL 34480-6613 · (352) 830-1500 · Fax (352) 830-1501
Fax(352) 830-1501
Organization SubpartNo
Authorized OfficialDavid J KosiorekPresident · (813) 598-9837
Enumeration DateMarch 11, 2025
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1235938341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
781 HIGHWAY 466, Lady Lake, FL 32159

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
781 HIGHWAY 466
LADY LAKE, FL 32159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lumen Dermatology LLC's NPI number?

The NPI number for Lumen Dermatology LLC is 1235938341. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Lumen Dermatology LLC located?

Lumen Dermatology LLC is located at 781 Highway 466, Lady Lake, FL 32159. The listed phone number is (352) 830-1500.

What is Lumen Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Lumen Dermatology LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.