Lumen Dermatology Llc

LBN: Lumen Dermatology Llc
Lumen Dermatology Llc is an health care organization with primary practice located at 781 Highway 466 , Lady Lake FL 32159-6340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lumen Dermatology Llc can be contacted via phone (352) 830-1500, or through Kosiorek, David J via phone (813) 598-9837.

Contact Information

Primary practice address
781 Highway 466 Lady Lake FL 32159-6340
Phone: (352) 830-1500
Fax: (352) 830-1501
Website:
Map and Directions
Authorized official contact:
Name: Kosiorek, David J Physician's Assistant Certified (PA-C)
Phone: (813) 598-9837

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1235938341
LBN Legal business name Lumen Dermatology Llc
DBA Doing business as
Authorized official Kosiorek, David J Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2025
Last updated Jul 29th, 2026 - about 3 months 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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