NPI 1497765762 · live from the CMS NPI Registry
Center For Advanced Dermatology LLC
Dermatology in Lakewood, CO. National Provider Identifier 1497765762, active.
NPI record
| NPI | 1497765762 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3455 S Yarrow St, Lakewood, CO 80227 |
| Practice phone | 303-989-5231 |
| Enumerated | August 9, 2006 |
| Last updated | May 15, 2008 |
| Authorized official | Michaela Mcdonnell, Managing Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.