Lake Loveland Dermatology Pc

LBN: Lake Loveland Dermatology Pc
Lake Loveland Dermatology Pc is an health care organization with primary practice located at 1708 Boise Ave , Loveland CO 80538-4204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Lake Loveland Dermatology Pc can be contacted via phone (970) 667-3116, or through Mott, Kevin John via phone (303) 569-7700.

Contact Information

Primary practice address
1708 Boise Ave Loveland CO 80538-4204
Phone: (970) 667-3116
Fax: (970) 669-0159
Website:
Map and Directions
Authorized official contact:
Name: Mott, Kevin John Doctor of Medicine (MD)
Phone: (303) 569-7700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Colorado
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1679646582
LBN Legal business name Lake Loveland Dermatology Pc
DBA Doing business as
Authorized official Mott, Kevin John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Nov 6th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679646582 NPPES
Colorado MEDICAID 04014833

Popular Providers