Center for Dermatology & Skin Care, Inc.
NPI #1356424667 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1356424667
- Entity Type
- Organization
- Organization Name
- Center for Dermatology & Skin Care, Inc.
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jan 27, 2011
Practice Location
- Address
- 607 CHESTNUT STREET
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1205
- Phone
- (304) 766-9136
Authorized Official
- Name
- DR. GREGORY T. LAGOS, DO
- Title
- PRESIDENT
- Phone
- (304) 766-9136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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