Integrated Dermatology of Lone Tree, Pllc

NPI #1518337518 in Lone Tree, Colorado

Provider Information

NPI Number: 1518337518
Entity Type: Organization
Organization Name: Integrated Dermatology of Lone Tree, Pllc
Primary Specialty: Dermatology
Enumeration Date: Oct 2, 2015
Last Updated: Jan 23, 2019

Practice Location

Address: 10099 RIDGEGATE PKWY
Address 2: SUITE 410
City: Lone Tree
State: Colorado
ZIP Code: 80124-5531
Phone: (303) 770-4040

Authorized Official

Name: JEFFREY D. QUEEN
Title: AUTHORIZED OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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