Lakeside Dermatology - a Professional Medical Corporation
Lakeside Dermatology - a Professional Medical Corporation provides Dermatology Physician services in San Francisco, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
1 Shrader St #640San Francisco, CA 94117
Phone: (415) 422-0000
Fax: (415) 424-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 20A9018 (CA) |
|---|
Record details
| NPI number | 1780963991 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alice Do — President · (415) 317-7261 |
| NPI enumerated | August 5, 2011 |
| Last updated in NPPES | October 6, 2020 |
| Certification date | October 6, 2020 |
| Mailing address | 1 Shrader Street, 640, San Francisco, CA 94117 |
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