Lark Dermatology
Dermatology in Bonney Lake, WA. Organization (NPI-2).
NPI number1982256970
StatusActive
Last updated in NPPESJan 21, 2020
Details
- NPI
- 1982256970
- Entity type
- Organization (NPI-2)
- Legal business name
- Lark Dermatology
- Organization subpart
- No
- Enumeration date
- Jul 10, 2019
- Certification date
- Jan 21, 2020
- Last updated
- Jan 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
21137 State Route 410 E Ste IBonney Lake, WA 98391-8775
Phone 253-862-5275
Mailing address
21137 State Route 410 E Ste IBonney Lake, WA 98391-8775
Phone 253-862-5275
Authorized official
Daniel Levy
Medical Director
2538625257
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology Physician providers in Bonney Lake, WA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.