Lazaderm Skin Care Centre PC

NPI #1003051020 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1003051020
Entity Type: Organization
Organization Name: Lazaderm Skin Care Centre PC
Primary Specialty: Dermatology
Enumeration Date: Dec 4, 2008
Last Updated: Dec 29, 2010

Practice Location

Address: 5011 S LOUISE AVE
City: Sioux Falls
State: South Dakota
ZIP Code: 57108-2268
Phone: (605) 275-6128

Authorized Official

Name: LORNELL E HANSEN II, MD
Title: PROVIDER AND OWNER
Phone: (605) 275-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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