LP DERM LLC
NPI 1538875786
Dermatology in Providence, UT

Active since January 30, 2023
517 W 100 N STE 103, PROVIDENCE, UT 84332(435) 554-8442 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lp Derm Llc NPPES

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

LP DERM LLC (NPI 1538875786), doing business as Lone Pine Dermatology, is a healthcare organization registered as a dermatology in Providence, Utah and active in the NPI registry since January 2023. The organization maintains 2 additional practice locations and lists Cory B Maughan, Owner, as its authorized official.

NPPES Registry Identity

NPI1538875786
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLP DERM LLC
Location Address517 W 100 N STE 103Providence, UT 84332-9824
Mailing Address517 W 100 N Ste 103Providence, UT 84332-9824 · (435) 554-8442
Organization SubpartYes
Authorized OfficialCory B MaughanOwner · (435) 554-8442
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
NPI 1538875786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
517 W 100 N STE 103, Providence, UT 84332

Other Names 1

Doing Business AsLone Pine Dermatology

Secondary Practice Locations 2

Location 1970 Medical Dr Ste 311Brigham City, UT 84302-3284 · Phone (435) 554-8442
Location 21325 N 600 E Ste 101Logan, UT 84341-6743 · Phone (435) 554-8442

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physician Assistant
517 W 100 N STE 103
PROVIDENCE, UT 84332

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 LP Derm LLC's NPI number?

The NPI number for LP Derm LLC is 1538875786. It was assigned to this organization in the NPPES registry on January 30, 2023. The provider is doing business as Lone Pine Dermatology.

Where is LP Derm LLC located?

LP Derm LLC is located at 517 W 100 N Ste 103, Providence, UT 84332. The listed phone number is (435) 554-8442.

What is LP Derm LLC's specialty?

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

What insurance does LP Derm LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list LP Derm LLC 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 LP Derm LLC was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.