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INTEGRA DERMATOLOGY PA
NPI 1366820136
Dermatology in Edina, MN

Active since May 13, 2015
7373 FRANCE AVE S STE 510, EDINA, MN 55435(612) 767-6000 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Jul 8, 2020 (2 updates tracked since 2020).

About Integra Dermatology Pa NPPES

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

INTEGRA DERMATOLOGY PA (NPI 1366820136) is a healthcare organization registered as a dermatology in Edina, Minnesota and active in the NPI registry since May 2015. The organization lists Mimi Lam, Owner, as its authorized official.

NPPES Registry Identity

NPI1366820136
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRA DERMATOLOGY PA
Location Address7373 FRANCE AVE S STE 510Edina, MN 55435-4551
Mailing Address7373 France Ave S Ste 510Edina, MN 55435-4551 · (612) 767-6000 · Fax (612) 767-6600
Phone(612) 767-6000
Organization SubpartNo
Authorized OfficialMimi LamOwner · (612) 767-6000
Enumeration DateMay 13, 2015
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1366820136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 1944
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.
7373 FRANCE AVE S STE 510, Edina, MN 55435
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Other Identifiers 1

Other1944MN · Mn State License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D2104679

Integra Dermatology, PA · Savage, MN
Expired · Jul 25, 2026
CLIA Number24D2104679
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorMimi Lam
Laboratory Phone(612) 767-6000
Laboratory LocationIntegra Dermatology, PA5725 Loftus Lane, Savage, MN 55378
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

DR. JONATHAN WITZKE, PA
Surgery (Plastic and Reconstructive Surgery)
7373 FRANCE AVE S STE 510
EDINA, MN 55435
Hennepin County (952) 893-3000
ONCOPLASTIC GENERAL SURGERY LLC
Surgery
7373 FRANCE AVE S STE 510
EDINA, MN 55435
Hennepin County (612) 562-8630
NORA ELIZABETH BURKART MD
Surgery
7373 FRANCE AVE S STE 510
EDINA, MN 55435
Hennepin County (612) 562-8630

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 Integra Dermatology PA's NPI number?

The NPI number for Integra Dermatology PA is 1366820136. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Integra Dermatology PA located?

Integra Dermatology PA is located at 7373 France Ave S Ste 510, Edina, MN 55435. The listed phone number is (612) 767-6000.

What is Integra Dermatology PA's specialty?

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

What insurance does Integra Dermatology PA accept?

Health plans from HealthPartners and Medica list Integra Dermatology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integra Dermatology PA was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.