Lake Loveland Dermatology PC

NPI #1073114948 in Windsor, Colorado

Provider Information

NPI Number: 1073114948
Entity Type: Organization
Organization Name: Lake Loveland Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: Nov 5, 2020
Last Updated: Jan 19, 2021

Practice Location

Address: 1683 MAIN ST
City: Windsor
State: Colorado
ZIP Code: 80550-7921
Phone: (970) 667-3116

Authorized Official

Name: KEVIN JOHN MOTT, MD
Title: OWNER
Phone: (303) 569-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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