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LOWER CAPE FEAR DERMATOLOGY CLINIC, P.A.
NPI 1770509358
Specialist in Wilmington, NC

Active since July 15, 2006
3904 OLEANDER DR, SUITE 102, WILMINGTON, NC 28403(910) 452-0400(910) 452-0355 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lower Cape Fear Dermatology Clinic, P.a. NPPES

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

LOWER CAPE FEAR DERMATOLOGY CLINIC, P.A. (NPI 1770509358) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since July 2006. The organization lists Marylou Courrege, President/owner, as its authorized official.

NPPES Registry Identity

NPI1770509358
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLOWER CAPE FEAR DERMATOLOGY CLINIC, P.A.
Location Address3904 OLEANDER DR, SUITE 102Wilmington, NC 28403-6717
Mailing Address3904 Oleander Dr, Suite 102Wilmington, NC 28403-6717 · (910) 452-0400 · Fax (910) 452-0355
Phone(910) 452-0400
Fax(910) 452-0355
Organization SubpartNo
Authorized OfficialMarylou CourregePresident/owner · (910) 452-0400
Enumeration DateJuly 15, 2006
Last NPPES UpdateMarch 30, 2009
✔ NPI 1770509358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 103912
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3904 OLEANDER DR, Wilmington, NC 28403
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Other Identifiers 2

Medicare ID-Type Unspecified2309918NC
Medicare UPIND33065NC

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 15

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

SOPHIA JULIANNA ZIENTEK PA-C
Physician Assistant
3904 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 530-1874
LYRICA LEIGH SQUIRES CTRS, LRT
Behavior Technician
3904 OLEANDER DR, SUITE 102
WILMINGTON, NC 28403
New Hanover County (252) 236-5165
LAURIN DAYWALT MPH, RD, LDN
Dietitian, Registered
3904 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 530-1874
BEHAVIORAL HEALTHCARE SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3904 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 313-3232
LIANA MINO
Behavior Technician
3904 OLEANDER DR, #102
WILMINGTON, NC 28403
New Hanover County (910) 313-3232
DESIREE MACDONALD
Behavior Technician
3904 OLEANDER DR, SUITE 102
WILMINGTON, NC 28403
New Hanover County (910) 313-3232
ALEXANDRA N UMSTEAD LCSW
Social Worker (Clinical)
3904 OLEANDER DR, SUITE 101
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
BRIAN ALAN LANCER FNP
Nurse Practitioner (Family)
3904 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 530-1874

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 Lower Cape Fear Dermatology Clinic, P.A.'s NPI number?

The NPI number for Lower Cape Fear Dermatology Clinic, P.A. is 1770509358. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Lower Cape Fear Dermatology Clinic, P.A. located?

Lower Cape Fear Dermatology Clinic, P.A. is located at 3904 Oleander Dr Suite 102, Wilmington, NC 28403. The listed phone number is (910) 452-0400.

What is Lower Cape Fear Dermatology Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lower Cape Fear Dermatology Clinic, P.A. was last updated on March 30, 2009. 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.