Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeway Dermatology and Skin Cancer

Organization Dermatology Physician · NPI 1780765172

Lakeway Dermatology and Skin Cancer provides Dermatology Physician services in Lakeway, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1313 Rr 620 S Ste 201
Lakeway, TX 78734-6333 Not confirmed with CMS for 10 years — call before visiting
Phone: (512) 263-0057
Fax: (512) 263-0221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence K5280 (TX)

Record details

NPI number1780765172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Cunningham — President · (512) 263-0057
Other names Mary Ana Cunningham
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 31, 2016
Mailing address3464 Rr 620 S, Bee Cave, TX 78738-6805

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