Lark Dermatology

NPI #1982256970 in Bonney Lake, Washington

Provider Information

NPI Number: 1982256970
Entity Type: Organization
Organization Name: Lark Dermatology
Primary Specialty: Dermatology
Enumeration Date: Jul 10, 2019
Last Updated: Jan 21, 2020

Practice Location

Address: 21137 STATE ROUTE 410 E STE I
City: Bonney Lake
State: Washington
ZIP Code: 98391-8775
Phone: (253) 862-5275

Authorized Official

Name: DANIEL LEVY, MD
Title: MEDICAL DIRECTOR
Phone: (253) 862-5257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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