Lake Loveland Dermatology Pc

LBN: Lake Loveland Dermatology Pc
Lake Loveland Dermatology Pc is an health care organization with primary practice located at 555 Prospect Ave , Estes Park CO 80517-6312. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Lake Loveland Dermatology Pc can be contacted via phone (970) 667-3119, or through Mott, Kevin John via phone (303) 569-7700.

Contact Information

Primary practice address
555 Prospect Ave Estes Park CO 80517-6312
Phone: (970) 667-3119
Fax: (970) 669-0159
Website:
Map and Directions
Authorized official contact:
Name: Mott, Kevin John
Phone: (303) 569-7700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1265033138
LBN Legal business name Lake Loveland Dermatology Pc
DBA Doing business as
Authorized official Mott, Kevin John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2020
Last updated Jan 19th, 2021 - about 5 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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