LAKE DERMATOLOGY INC.
NPI 1689898447
Dermatology in Lafayette, IN

Active since April 12, 2007
15 EXECUTIVE DR, SUITE 4, LAFAYETTE, IN 47905(765) 838-3428(765) 838-3440 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Dermatology Inc. NPPES

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

LAKE DERMATOLOGY INC. (NPI 1689898447) is a healthcare organization registered as a dermatology in Lafayette, Indiana and active in the NPI registry since April 2007. The organization lists Mark Adrian Lake, President, as its authorized official.

NPPES Registry Identity

NPI1689898447
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKE DERMATOLOGY INC.
Location Address15 EXECUTIVE DR, SUITE 4Lafayette, IN 47905-3833
Mailing Address15 Executive Dr, Suite 4Lafayette, IN 47905-3833 · (765) 838-3428 · Fax (765) 838-3440
Fax(765) 838-3440
Organization SubpartNo
Authorized OfficialMark Adrian LakePresident · (765) 538-3508
Enumeration DateApril 12, 2007
Last NPPES UpdateNovember 13, 2008
NPI 1689898447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01055166A
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.
15 EXECUTIVE DR, Lafayette, IN 47905

Other Identifiers 3

Medicare PIN252950AIN
Medicare UPINH16853IN
Medicare PIN252950IN

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 4

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

Dermatology
15 EXECUTIVE DR, SUITE 4
LAFAYETTE, IN 47905
Social Worker (Clinical)
15 EXECUTIVE DR, STE 3
LAFAYETTE, IN 47905
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
15 EXECUTIVE DR, STE 1
LAFAYETTE, IN 47905
Marriage & Family Therapist
15 EXECUTIVE DR
LAFAYETTE, IN 47905

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 Lake Dermatology Inc.'s NPI number?

The NPI number for Lake Dermatology Inc. is 1689898447. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Lake Dermatology Inc. located?

Lake Dermatology Inc. is located at 15 Executive Dr Suite 4, Lafayette, IN 47905. The listed phone number is (765) 838-3428.

What is Lake Dermatology Inc.'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 Lake Dermatology Inc. was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.