LAKESIDE DERMATOLOGY , PA
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1619973054- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 19900 W CATAWBA AVE SUITE B, CORNELIUS, NC, 280314032
- Phone
- (704) 892-4878
- Fax
- (704) 892-7453
Specialties & Taxonomies
Dermatology
Primary License: NC #9400198