Organization · Type 2 NPI

Lumen Dermatology LLC

Dermatology Physician · Lady Lake, FL

NPI number 1235938341 Active

Practice location

781 Highway 466
Lady Lake, FL 32159-6340

Fax (352) 830-1501

Mailing address

4365 SE 15th Ave
Ocala, FL 34480-6613

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1235938341

Lumen Dermatology LLC's National Provider Identifier is 1235938341, issued on Mar 11, 2025. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Lady Lake, FL. The record was last updated on Jul 29, 2026.