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LAKES DERMATOLOGY, PA
NPI 1962871608
Dermatology in Burnsville, MN

Active since September 23, 2015
14305 SOUTHCROSS DR W, SUITE 110, BURNSVILLE, MN 55306(612) 387-4627(612) 377-9713 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakes Dermatology, Pa NPPES

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

LAKES DERMATOLOGY, PA (NPI 1962871608) is a healthcare organization registered as a dermatology in Burnsville, Minnesota and active in the NPI registry since September 2015. The organization lists Rehana Leila Ahmed-saucedo, Dermatologist, President, as its authorized official.

NPPES Registry Identity

NPI1962871608
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKES DERMATOLOGY, PA
Location Address14305 SOUTHCROSS DR W, SUITE 110Burnsville, MN 55306-7009
Mailing Address2732 Irving Ave S, Suite 110Minneapolis, MN 55408-1049 · (612) 387-4627 · Fax (612) 377-9713
Phone(612) 387-4627
Fax(612) 377-9713
Organization SubpartNo
Authorized OfficialRehana Leila Ahmed-saucedoDermatologist, President · (612) 387-4627
Enumeration DateSeptember 23, 2015
✔ NPI 1962871608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 51837
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.
14305 SOUTHCROSS DR W, Burnsville, MN 55306
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D2105418

Lakes Dermatology · Burnsville, MN
Expired · Jul 19, 2026
CLIA Number24D2105418
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorRehana L. Ahmed-Saucedo
Laboratory Phone(651) 340-1064
Laboratory LocationLakes Dermatology14305 Southcross Dr W #110, Burnsville, MN 55306
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Lakes Dermatology, PA's NPI number?

The NPI number for Lakes Dermatology, PA is 1962871608. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Lakes Dermatology, PA located?

Lakes Dermatology, PA is located at 14305 Southcross Dr W Suite 110, Burnsville, MN 55306. The listed phone number is (612) 387-4627.

What is Lakes Dermatology, PA's specialty?

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

What insurance does Lakes Dermatology, PA accept?

Health plans from HealthPartners and Medica list Lakes Dermatology, PA 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 Lakes Dermatology, PA was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.