Lazaderm Skin Care Centre Pc

LBN: Lazaderm Skin Care Centre Pc
Lazaderm Skin Care Centre Pc is an health care organization with primary practice located at 5011 S Louise Ave , Sioux Falls SD 57108-2268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lazaderm Skin Care Centre Pc can be contacted via phone (605) 275-6128, or through Hansen, Lornell E via phone (605) 275-6128.

Contact Information

Primary practice address
5011 S Louise Ave Sioux Falls SD 57108-2268
Phone: (605) 275-6128
Fax: (605) 373-9971
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Lornell E Doctor of Medicine (MD)
Phone: (605) 275-6128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1003051020
LBN Legal business name Lazaderm Skin Care Centre Pc
DBA Doing business as
Authorized official Hansen, Lornell E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Dec 29th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003051020 NPPES
South Dakota Other DO9926 RAILROAD MEDICARE

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