Lucent Dermatology and Skin Surgery Center Corp

NPI #1912464157 in Beachwood, Ohio

Provider Information

NPI Number: 1912464157
Entity Type: Organization
Organization Name: Lucent Dermatology and Skin Surgery Center Corp
Primary Specialty: Dermatology
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 2000 AUBURN DR STE 120
City: Beachwood
State: Ohio
ZIP Code: 44122-4328
Phone: (440) 234-8833

Authorized Official

Name: WILLIAM CAMP, MD
Title: OWNER/PARTNER
Phone: (205) 612-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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