Lakes Dermatology, Pllc
NPI #1194186833 in Spirit Lake, Iowa
Provider Information
- NPI Number
- 1194186833
- Entity Type
- Organization
- Organization Name
- Lakes Dermatology, Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 8, 2016
- Last Updated
- Dec 21, 2022
Practice Location
- Address
- 2704 ENTERPRISE AVE
- City
- Spirit Lake
- State
- Iowa
- ZIP Code
- 51360
- Phone
- (712) 336-2728
Authorized Official
- Name
- MRS. CRYSTAL ELIZABETH MEYER, ARNP
- Title
- OWNER
- Phone
- (712) 336-2728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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