Lake Dermatology Inc.

LBN: Lake Dermatology Inc.
Lake Dermatology Inc. is an health care organization with primary practice located at 15 Executive Dr Suite 4, Lafayette IN 47905-3833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lake Dermatology Inc. can be contacted via phone (765) 838-3428, or through Lake, Mark Adrian via phone (765) 538-3508.

Contact Information

Primary practice address
15 Executive Dr Suite 4 Lafayette IN 47905-3833
Phone: (765) 838-3428
Fax: (765) 838-3440
Website:
Map and Directions
Authorized official contact:
Name: Lake, Mark Adrian Doctor of Medicine (MD)
Phone: (765) 538-3508

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01055166A Indiana

Profile Details

NPI number 1689898447
LBN Legal business name Lake Dermatology Inc.
DBA Doing business as
Authorized official Lake, Mark Adrian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Nov 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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