LAKE AREA DERMATOLOGY PA
NPI 1710270921
Dermatology in Vadnais Heights, MN
About Lake Area Dermatology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE AREA DERMATOLOGY PA (NPI 1710270921) is a healthcare organization registered as a dermatology in Vadnais Heights, Minnesota and active in the NPI registry since May 2011. The organization lists Tracy Fuchs Gannon, President / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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.
VADNAIS HEIGHTS, MN 55110
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 Area Dermatology PA's NPI number?
The NPI number for Lake Area Dermatology PA is 1710270921. It was assigned to this organization in the NPPES registry on May 20, 2011.
Where is Lake Area Dermatology PA located?
Lake Area Dermatology PA is located at 3640 Talmage Cir Suite 216, Vadnais Heights, MN 55110. The listed phone number is (651) 224-4930.
What is Lake Area Dermatology PA'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 Area Dermatology PA was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.