LAKE AREA DERMATOLOGY PA
NPI 1710270921
Dermatology in Vadnais Heights, MN

Active since May 20, 2011
3640 TALMAGE CIR, SUITE 216, VADNAIS HEIGHTS, MN 55110(651) 224-4930(651) 842-3391 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1710270921
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKE AREA DERMATOLOGY PA
Location Address3640 TALMAGE CIR, SUITE 216Vadnais Heights, MN 55110-4183
Mailing Address2854 Highway 55, Suite 130Eagan, MN 55121-1447 · (651) 224-4930 · Fax (651) 842-3391
Fax(651) 842-3391
Organization SubpartNo
Authorized OfficialTracy Fuchs GannonPresident / Owner · (651) 224-4930
Enumeration DateMay 20, 2011
Last NPPES UpdateJune 3, 2011
NPI 1710270921 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.
3640 TALMAGE CIR, Vadnais Heights, MN 55110

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 3

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

Counselor (Professional)
3640 TALMAGE CIR, STE 210
VADNAIS HEIGHTS, MN 55110
Chiropractor
3640 TALMAGE CIR
VADNAIS HEIGHTS, MN 55110
Acupuncturist
3640 TALMAGE CIR, 105
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.